[Management of acute myocardial infarction: What remains of intravenous thrombolysis?]

Presse Med. 2011 Jun;40(6):611-4. doi: 10.1016/j.lpm.2011.02.040. Epub 2011 May 12.
[Article in French]

Abstract

ST elevation myocardial infarction (STEMI) is related to acute occlusion of a coronary artery by a fibrin reach thrombus. Early reperfusion may reduce infarct size and improve prognosis. Percutaneous coronary intervention (PCI) is more effective than intravenous fibrinolysis (IVF). Fibrinolysis remains useful in patients when PCI is not feasible. IVF has largely contributed to the knowledge of the physiopathology of STEMI and its management.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary
  • Clinical Trials as Topic
  • Combined Modality Therapy
  • Disease Management*
  • Early Diagnosis
  • Emergency Medical Services
  • Fibrinolytic Agents / administration & dosage*
  • Fibrinolytic Agents / adverse effects
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Infusions, Intravenous
  • Injections, Intravenous
  • Multicenter Studies as Topic
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / drug therapy*
  • Myocardial Infarction / mortality
  • Myocardial Infarction / therapy
  • Myocardial Reperfusion / methods*
  • Myocardial Reperfusion / trends
  • Thrombolytic Therapy / methods*
  • Thrombolytic Therapy / trends
  • Time Factors

Substances

  • Fibrinolytic Agents