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[What we found one year after conducting thrombolytic therapy with myocardial infarct patients]
Insights
Patients with recovered coronary blood flow after myocardial infarction experienced more angina and reinfarctions. However, this group also showed decreased hospital and first-year lethality, indicating a complex outcome after thrombolytic therapy.
Area of Science:
- Cardiology
- Vascular Biology
- Clinical Medicine
Abstract:
As many as 135 patients with myocardial infarction were under observation for a year. All the patients had received thrombolytic therapy 3.9 +/- 0.2 h on the average after the onset of an anginal attack. The patients with the recovered coronary blood flow (group I) manifested a more frequent occurrence of angina pectoris (38%) and repeated myocardial infarctions (8%) as compared to those with persisting occlusion of the coronary artery (group 2)--12 and 1.6% respectively. According to the coronary angiography, group I patients with angina pectoris showed high values of the degree of residual stenosis; the development of reocclusion characterized by the asymptomatic course at the long-term period. Group I patients were noted to have a decrease in the hospital lethality and lethality during the first year.