Evaluation of the effectiveness of intracoronary streptokinase infusion in acute myocardial infarction: Postprocedure management and hospital course in 204 patients

摘要: Abstract A multicenter study evaluated the early management and subsequent hospital course of 204 patients with acute myocardial infarction who were receiving intracoronary infusions streptokinase (STK). The in-hospital mortality in 37 thrombotic occlusion infarct-related vessel, whom recanalization could not be achieved, was 24%. However, cardiac 129 successfully treated by percutaneous transluminal coronary (PTCR) only 5.4%. Cardiac deaths (five patients) nonfatal reinfarctions (20 occurred period care unit (CCU) 21% latter group and, despite anticoagulation measures, consistently prevented. Hemorrhagic complications, necessitating blood transfusion, 15 (7.4%) total group, usually CCU stage, positively related to decline fibrinogen serum concentrations below 100 mg/dl use Judkins technique. later most on general ward uneventful until discharge. Thus there two more deaths, 64 STK-PTCR left without clinical indications reinfarction agreed repeat angiography before discharge, vessel patent 59 reoccluded five (7.8%).