Emergency percutaneous transluminal angioplasty and thrombolytic therapy in acute myocardial infarction
- VernacularTitle:急诊冠状动脉腔内成形术与溶栓治疗急性心肌梗塞的临床分析
- Author:
Weibiao PAN
;
Jun LAN
;
Zhuolin GUO
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction (AMI);
Emergency PTCA;
Thrombolytic therapy
- From:
Chinese Journal of Interventional Cardiology
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of emergency percutaneous transluminal coronanry angioplasty and thrombolytic therapy (PTCA) in acute myocardial infarction (AMI). Methods 52 cases of AMI were treated by emergency PTCA while 58 cases of AMI were treated by thrombolytic therapy, we then compared the clinical effect between two groups both in hospital and the follow-up period. Results In the emergency PTCA group, 3 cases died while 49 cases were successful (success rate 94.2%) and the average staying in hospital was 14.6 d. In this group the left ventricular ejection fraction (LVFT) was 45.5%?4.3%. During the follow-up period of 2～18 months, 3 cases of angina pectoris occurred again and 3 case accepted the treatment of selective PTCA in the emergency PTCA group. In the group of thrombolysis, 8 cases died while 50 cases were successful (the ratio of success rate 86.2%) and the average staying in hospital was 26.4 d. In this group the LVFT was 37.6?6.2. During the follow-up period of 2～18 months, 17 cases of angina pectoris occurred again and 17 cases accepted the treatment of selective PTCA in the thrombolysis group. Conclusion The infarct related arteries (IRA) can be revascularized with emergency PTCA in AMI. The treatment of emergency PTCA can reduce the ratio of sudden death and the days in-hospital ( P
