The management of patients with acute myocardial infarction after successful reperfusion with streptokinase.

M. J. Friedman, J. M. Kalbfleisch, L. Robins, C. W. McEntee, D. L. Brewer, R. C. Slagle, B. O'Meara, R. Hall, L. L. Conrad, H. M. Hawkins

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1 Scopus citations

Abstract

Intracoronary streptokinase administration has been an effective procedure for establishing reperfusion of an evolving myocardial infarction by lysing the thrombus that is usually responsible for the infarction. After reperfusion is accomplished, appropriate management of the patient must be planned to provide the best chance for assuring continued vessel patency, and appropriate management of the patient's residual coronary artery disease also must be considered. In selected patients, percutaneous transluminal coronary angioplasty of the residual coronary lesion has been performed successfully immediately following reperfusion with streptokinase. Early coronary artery bypass graft surgery has been performed with good results in other patients. The appropriate management of the patient with acute myocardial infarction is still evolving, and only with additional study and experience will the "best" approach in the management of these patients be defined.

Original languageEnglish (US)
Pages (from-to)85-91
Number of pages7
JournalCardiology clinics
Volume3
Issue number1
DOIs
StatePublished - Feb 1985
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Friedman, M. J., Kalbfleisch, J. M., Robins, L., McEntee, C. W., Brewer, D. L., Slagle, R. C., O'Meara, B., Hall, R., Conrad, L. L., & Hawkins, H. M. (1985). The management of patients with acute myocardial infarction after successful reperfusion with streptokinase. Cardiology clinics, 3(1), 85-91. https://doi.org/10.1016/s0733-8651(18)30699-4