PMID: 8590742Oct 1, 1995Paper

Treatment of acute myocardial infarction by invasive cardiology techniques

Seminars in Thoracic and Cardiovascular Surgery
D C Morris

Abstract

The role of coronary angioplasty as a means of reperfusion therapy in the patient who suffered an acute myocardial infarction has continued to evolve. Adjunctive angioplasty immediately after thrombolytic therapy has been discarded as a routine therapeutic approach. Rescue angioplasty after failed thrombolysis has limited applicability due to the inability to readily diagnose a failure of thrombolysis. Primary angioplasty is the appropriate reperfusion approach in those patients ineligible for thrombolysis and perhaps offers advantages over thrombolysis in the elderly patients, in the patients with a large anterior infarction, and in patients in cardiogenic shock secondary to the acute infarction.

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