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:

(Date:11/25/2015)... ... November 25, 2015 , ... In an ongoing Clinical ... Center (RMC) in Chicago, IL, UV Angel is evaluating the efficacy of its product ... intensive care units (totaling 30 beds) from May 2014 through October 2015 at a ...
(Date:11/25/2015)... ... November 25, 2015 , ... In ... nation’s Periwinkle Pioneers, individuals and groups responsible for advancing care for pulmonary hypertension ... Pioneers, nominated by the public, will receive special recognition throughout 2016 as part ...
(Date:11/25/2015)... ... ... Many people know of the common symptoms of low thyroid hormone (also ... many people who find their cholesterol levels and weight are creeping up are more ... they don’t have any of the other symptoms. , Thyroid hormone plays a major ...
(Date:11/25/2015)... ... November 25, 2015 , ... ... lower prices in an early celebration of the early holiday shopping season. Starting ... $29.95 each (normally $33.95 ea). Black Friday promotional pricing is in addition to ...
(Date:11/24/2015)... Mississauga, ON (PRWEB) , ... November 24, 2015 , ... ... Deborah Williams without a referral for dental implants at her Mississauga, ON ... qualified and experienced in the placement of dental implants. , Missing teeth can ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... LYON , Frankreich, November 25, 2015 ... hat heute bekanntgegeben, dass sie eine Lizenz für das ... Inserm, Poxel, CNRS, UCBL und ENS-Lyon innehaben, an Enyo ... 2009 von FUI AAP8 ins Leben gerufenen und von ... NATHEB-Programms wurde FXR als ein Behandlungsziel für HBV identifiziert, ...
(Date:11/24/2015)... Nov. 24, 2015  Natera, Inc. (Nasdaq: ... genetic testing and the analysis of circulating ... present at the 27 th  Annual Piper ... 2015 at 1:00 p.m. ET.  Matthew Rabinowitz, Ph.D., CEO of ... business activities and financial outlook. ...
(Date:11/24/2015)... , 24. November 2015 Avery ... Pacemaker Systems, ist erfreut, die Berufung von ... bekannt geben zu können. ... --> Foto - ... (Schweden). Von 1984-1986 war er Fellow des ...
Breaking Medicine Technology: