Thrombolyse intracoronarienne comme traitement de l'infarctus en constitution [Intracoronary thrombolysis as a treatment for evolving myocardial infarction].

Détails

ID Serval
serval:BIB_A46A4CB4EE68
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Thrombolyse intracoronarienne comme traitement de l'infarctus en constitution [Intracoronary thrombolysis as a treatment for evolving myocardial infarction].
Périodique
Schweizerische Medizinische Wochenschrift
Auteur(s)
Sigwart U., Grbic M., Goy J.J., Grec V., Essinger A., Fischer A., Jaeger M., Morin D., Perret C., Sadeghi H.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
1983
Volume
113
Numéro
45
Pages
1666-1670
Langue
français
Résumé
Myocardial infarction is almost always the consequence of a thrombotic obstruction of one or more coronary arteries. We report our experience with the first 24 cases of intracoronary thrombolysis for recanalization of obstructed coronary arteries. 19 cases were successful, 1 case was partially successful and in 4 instances no reopening was observed. The amount of streptokinase used was 206 000 +/- 107 000 units, and reperfusion was achieved after 37 +/- 27.5 minutes. Recanalization of the vessel was accompanied by cessation of precordial pain and partial or complete normalization of the electrocardiogram. In one case bypass surgery was necessary because of reocclusion. Left ventricular function improvement after thrombolysis was dependent on the time-lag between occlusion and recanalization. These observations confirm others' experience that intracoronary thrombolysis appears to have favorable effects in patients with evolving myocardial infarction.
Mots-clé
Coronary Disease/complications, Coronary Disease/enzymology, Female, Humans, Male, Myocardial Infarction/prevention & control, Perfusion, Streptokinase/administration & dosage, Streptokinase/therapeutic use
Pubmed
Web of science
Création de la notice
03/09/2011 21:16
Dernière modification de la notice
20/08/2019 16:09
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