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KMID : 0385919950060010226
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Journal of the Korean Society of Emergency Medicine
1995 Volume.6 No. 1 p.226 ~ p.230
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THROMBOLYTIC THERAPY IN ACUTE MYOCARDIAL INF ARCTION : EFFECT ON RESIDUAL MYOCARDIAL ISCHEMIA AND CARDIAC EVENT
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Abstract
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Background:
@EN Thrombolytic therapy was known as first treatment of choice in patients with acute myocardial infarction(AMI). This study was designed to assess the effect on residual ischemia and cardiac event (postinfarct angina, recurrent myocardial
infarction,
cardiac deaht)after thrombolytic therapy for AMI.
@ES Method and Results:
@EN We reviewed 42 patients, admitted with AMI during three years from January 1991 to December 1993. All patients performed treadmill test or thallium scintigraphy and had out-patient follow-up checking over one year. Twenty one patients were
received
by thrombolytic therapy (Group A) and the remaining twenty one patients were not (Group B). Mean age was 58±8 years in group A and 60±11 years in group B. Residual ischemia was reduced by thrombolytic therapy, 19% in group A compared with 48%
in
group
B (P<0.05). No significant differences in incidence of cardiac event were found between the two groups(19% and 19%).
@ES Conclusion:
@EN Thrombolytic therapy reduced the residual ischemia after AMI but did not reduced the incidence of cardiac event in long term follow-up.
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KEYWORD
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