Angioplasty at an invasive-treatment center reduced mortality compared with first-contact thrombolysis.
نویسنده
چکیده
Clinical impact ratings GP/FP/Primary care wwwwwqq IM/Ambulatory care wwwwwwq Internal medicine wwwwwwq Cardiology wwwwwqq Emergency medicine wwwwwwq . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q Is the transfer of patients with ST-segment elevation myocardial infarction (STEMI) to an invasive treatment centre (ITC) for primary angioplasty (percutaneous coronary intervention [PCI]) more effective than onsite fibrinolysis for reducing all cause mortality, reinfarction, or stroke?
منابع مشابه
Simple risk stratification at admission to identify patients with reduced mortality from primary angioplasty.
BACKGROUND Randomized trials comparing fibrinolysis with primary angioplasty for acute ST-elevation myocardial infarction have demonstrated a beneficial effect of primary angioplasty on the combined end point of death, reinfarction, and disabling stroke but not on all-cause death. Identifying a patient group with reduced mortality from an invasive strategy would be important for early triage. T...
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Objectives: To assess the results of primary coronary angioplasty in comparison to thrombolytic therapy for the treatment of patients with acute myocardial infarction, and to compare the time from arrival of a patient with acute myocardial infarction at the coronary care unit of Queen Alia Heart Institute to having reperfusion therapy. Methods: This is a retrospective study looking at consecuti...
متن کاملTransfer for primary angioplasty versus immediate thrombolysis in acute myocardial infarction: a meta-analysis.
BACKGROUND The benefit of primary percutaneous coronary intervention (PCI) over thrombolysis has been clearly demonstrated in acute myocardial infarction (AMI). However, the best therapeutic strategy for a patient with AMI presenting to acute care services without catheterization facilities remains under debate. Our objective was to gather all available information from clinical trials comparin...
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Introduction: Acute pulmonary embolism (PE) is one of the deadly cardiovascular diseases. One of the indexes proposed in these patients for risk stratification is the Thrombolysis in Myocardial Infarction (TIMI) risk index (TRI), which includes three parameters of systolic blood pressure, age, and heart rate. This study aimed to evaluate the predictive value of TRI on in-hospit...
متن کامل[Mortality of patients with ST-elevation acute myocardial infarction treated with primary angioplasty or thrombolysis].
BACKGROUND Primary angioplasty is the most effective treatment of ST-segment elevation acute myocardial infarction (STEMI). However, its worldwide implementation is difficult to obtain. Therefore thrombolysis continues to be the treatment most commonly used. AIM To evaluate in-hospital and long term mortality of patients with STEMI treated with thrombolysis or angioplasty, in three hospitals ...
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عنوان ژورنال:
- ACP journal club
دوره 140 2 شماره
صفحات -
تاریخ انتشار 2004