Early and Late Coronary Angiographic Changes After Thrombolysis in Acute Myocardial Infarciton-中国期刊网

摘要 ObjectiveThecoronaryanatomicfeatureanddevelopmentafterthrombolysisinacutemyocardialinfarction(AMI)werestudied.Mehtods100patientswithAMIreceivedurokinaseandstrepokinase.Coronaryangiography(CAG)wasperformedat90minutsandagainat3to4weeks.ResultsSuccessfulthrombolysisoccurredin60cases,butfailedin40.Theratioofreperfusionwas60%.CAGshowedtherewereresidualthrombiin84patients(84%)andcompletecoronaryocclusionin40(40%).Angiographyat3to4weeksafterthrombolysisshowedthestenosisworsenedin8patientsandimprovedin10.ConclusionAMIiscausedbysuddencoronarythromboticocclusionandcanbereperfusedbyusingthrombolyticagentormechanicalmethods.Throm-bolyticagentsusuallycannotresolvethrombicompletely.Sopercutaneoustransluminalcoronaryangiography(PTCA)isrecommendedasanimportantmethodtoimproveseriousresidualstenosis.

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Early and Late Coronary Angiographic Changes After Thrombolysis in Acute Myocardial Infarciton

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Early and Late Coronary Angiographic Changes After Thrombolysis in Acute Myocardial Infarciton

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