Navigation Links
Angioplasty plus stenting better than thrombolysis for elderly patients with AMI,,

Comparative trials and observational studies previously conducted in elderly populations have yielded conflicting results, researchers explain. These studies were performed before intracoronary stents and use of glycoprotein IIb/IIIa antagonists were routinely employed.
Therefore, Dr. Hanoch Hod, of Chaim Sheba Medical //Center in Tel Hashomer, Israel, and associates followed 130 consecutive patients aged 70 or older treated for ST-elevation AMI. Eighty-six patients were admitted to one center where they were treated with thrombolytic therapy. The 44 admitted to a second center underwent primary angioplasty, except for one referred for bypass graft surgery.

Baseline characteristics of the two groups of patients, as well as transport times to treatment centers, were similar. None of the patients had contraindications for thrombolytic therapy. During their hospitalizations, patients receiving thrombolytic therapy were more likely to experience recurrent ischemia (31%) than primary angioplasty patients (2%) and to require revascularization procedures (48% versus 5%). None of those who underwent primary angioplasty experienced major bleeding, compared with 17% of those in the thrombolysis group. As a consequence, there was a trend toward shorter hospitalizations among those immediately treated with angioplasty (mean 12 days versus 9.1 days).

Finally, the rate of recurrent MI during 6-month follow-up was 14% in the thrombolysis group and 2% in the percutaneous intervention group, the Israeli physicians report.
Dr. Hod's team concludes that, for treatment of elderly patients with acute myocardial infarction ,primary angioplasty with the routine use of coronary stents and intensive antiplatelet therapy is associated with better outcomes than treatment with tissue-type plasminogen activator (t-PA). However, they emphasize that their findings "apply only to a center that specializes in this reperfusion technique and is equipped and staff ed with personnel prepared to offer immediate therapy 24 hours a day."

Am Heart J 2003;145:862-867.
'"/>




Related medicine news :

1. Cholesterol Drug Helps After Angioplasty
2. Angioplasty Should be the Standard
3. The Success Rate Of Angioplasty In Female Patients Low
4. Angioplasty The Much Preferred Treatment Of Choice For Heart Attacks
5. Angioplasty death risk reduced by doubling drug dose
6. Angioplasty death risk reduced by doubling drug dose
7. A ray of hope in Angioplasty dilemma
8. Patients Fare Better With Doctors Who Do More Angioplasty Procedures
9. Researchers Begin Study To Find Out If Angioplasty Can Be Safely Done In Smaller Hospitals
10. Drug-Coated Stents Work Better In Diabetic Patients After Angioplasty
11. Togadiyas Condition Stable After Undergoing Angioplasty
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:12/7/2016)... TX (PRWEB) , ... December 07, 2016 , ... ... offering insurance and financial planning services to families and business owners in the ... funds on behalf of the Dallas Fallen Officer Foundation. , Established in 2009 ...
(Date:12/7/2016)... , ... December 07, 2016 , ... A. Kevin Spann ... and families throughout the Five Boroughs, is launching a charity drive to raise funds ... continue the traditions and spirit of marines and Navy FMF Corpsmen. Working closely with ...
(Date:12/7/2016)... ... December 07, 2016 , ... ... announce that its fully redesigned website, which launched October 17, 2016, features comprehensive ... responsive design and easy-to-navigate layout. Visitors and patients can discover the latest clinical ...
(Date:12/7/2016)... ... December 07, 2016 , ... ... is condemning "scam operations" carried out by unethical locksmith companies and is urging ... to a halt. According to Texas Premier Locksmith, these fraudulent locksmith services take ...
(Date:12/7/2016)... ... December 07, 2016 , ... "ProBrand Flip allows FCPX editors to ... Christina Austin - CEO of Pixel Film Studios. , ProBrand Flip includes 30 flip ... zones. Editors can select from a variety of flip book animations. In Addition, users ...
Breaking Medicine News(10 mins):
(Date:12/6/2016)... , Dec. 6, 2016   AlloSource ... cartilage, cellular, bone, skin and soft-tissue allografts for ... , Business Process Manager, for being named to ... Baldrige National Quality Award by the Commerce Department,s ... the organization,s commitment to process excellence. The Baldrige ...
(Date:12/6/2016)... BOSTON , Dec. 6, 2016  BTL ... evaluation proving that its BTL Vanquish ME device ... homogenous energy delivery to the targeted tissue. The ... reduction, 53% higher, with BTL Vanquish ME versus ... providing our physician network and their patients with ...
(Date:12/6/2016)... opioids commonly used for pain management for workplace injuries, employers now ... to nationwide fatalities. The synthetic opioid called U-47700, or ... morphine, resulting in likelihood of addiction, abuse or death. ... , , ... for HMC HealthWorks, explained the opioid drug is less expensive yet ...
Breaking Medicine Technology: