Retrospective analysis of thrombolysis therapy for 64 cases of acute myocardial infarction with elevated ST segment

Xiao-xia Fu1, Wen-jian Xiao, Jian Lu

  • 1The First Traditional Chinese Medicine Hospital of Zhanjiang City, Guangdong, China. Fu_tiger@sina.com

Insights

Xueshuantong Injection (XST) improved cardiac function and reduced cardiac events in acute myocardial infarction (AMI) patients post-reperfusion. This integrative therapy offers cardiac protection following thrombolysis.

Area of Science:

  • Cardiology
  • Integrative Medicine
  • Pharmacology

Background:

  • Acute myocardial infarction (AMI) with ST-segment elevation requires prompt reperfusion therapy.
  • Integrative therapies are increasingly explored to enhance outcomes in cardiovascular diseases.

Purpose of the Study:

  • To investigate the cardiac protective effects of Xueshuantong Injection (XST) as an adjunct therapy in patients with AMI after reperfusion.
  • To evaluate the impact of XST on cardiac function and clinical outcomes.

Main Methods:

  • A retrospective analysis of 64 AMI patients treated with thrombolysis.
  • Comparison between a control group (urokinase) and a treated group (urokinase + XST).
  • Monitoring of cardiac enzymes, echocardiographic parameters, and 6-month incidence of cardiac events.

Main Results:

  • No significant difference in peak cardiac enzyme levels or their appearance time between groups.
  • Significant improvements in heart function parameters at day 7 and 14 in the XST-treated group compared to controls (P<0.05, P<0.01).
  • Reduced incidence of cardiac events in the XST group during the 6-month follow-up (P<0.05).

Conclusions:

  • Xueshuantong Injection (XST) demonstrates a significant cardiac protective effect in AMI patients post-reperfusion.
  • XST improves cardiac function and reduces adverse cardiac events when used adjunctively with thrombolysis.
  • This study supports the role of XST in the management of acute myocardial infarction.
Abstract

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