Facilitated percutaneous coronary intervention in patients with acute myocardial infarction transferred from remote hospitals

Dudek D., Zmudka K., Kaluza G., Kuta M., Pieniazek P., Przewlocki T., ...Daha Fazla

AMERICAN JOURNAL OF CARDIOLOGY, cilt.91, sa.2, ss.227-230, 2003 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 91 Sayı: 2
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1016/s0002-9149(02)03112-0
  • Dergi Adı: AMERICAN JOURNAL OF CARDIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.227-230
  • İstanbul Üniversitesi Adresli: Hayır

Özet

Two hundred patients with acute myocardial infarction admitted to hospitals. remote from a interventional center (transfer time >90 minutes) received IV bolus doses of heparin, half-dose alteplase, and abciximab, and were immediately transferred to the interventional center, with continued alteplase and abciximab infusions. Transfer was safe with no deaths. Seventy-one percent of the patients presented with TIMI grade 3 flow in the infarct-related artery at the diagnostic angiography, whereas percutaneous intervention facilitated by this lytic regimen resulted in a final TIMI 3 flow in 93% of patients and low mortality at 30 days (3.5%); however, there were frequent bleeding complications.