Facilitated percutaneous coronary intervention in patients with acute myocardial infarction transferred from remote hospitals
AMERICAN JOURNAL OF CARDIOLOGY, cilt.91, sa.2, ss.227-230, 2003 (SCI-Expanded, Scopus)
- 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.