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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1985-10-9
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pubmed:abstractText |
Experimental studies in dogs with coronary thrombi induced by copper wire confirmed the optimal method of intracoronary thrombolysis, and showed that a high-dose, brief intravenous infusion of urokinase can lead to recanalization. The thrombolytic effects of intracoronary thrombolysin at a rate of 50 IU/kg over 10 minutes are similar to the effects of intracoronary urokinase at a rate 500 IU/kg over 20 minutes. Overall reperfusion rates of 83-86% have been achieved. These results indicate that the thrombolytic effect of thrombolysin is 20 times stronger than that of urokinase. The effect of a brief intravenous infusion of urokinase was less than that of intracoronary urokinase. The reperfusion rate in the same experimental model was 40%. Later, a clinical trial of intracoronary urokinase was performed in 47 patients with acute myocardial infarction who were admitted within 12 hours of the onset of symptoms. In 25 of 33 (75.8%) patients with complete occlusion, selective or ostial infusion of urokinase 500 IU/kg over 20 minutes was successful. When given intravenously, recanalization was achieved in 11 of 15 (73%) patients with complete occlusion who were admitted within 6 hours. Both reperfusion rates were similar except for dosage and the duration of infusion.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0047-1828
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
49
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
597-604
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:3162042-Aged,
pubmed-meshheading:3162042-Animals,
pubmed-meshheading:3162042-Coronary Angiography,
pubmed-meshheading:3162042-Coronary Circulation,
pubmed-meshheading:3162042-Coronary Disease,
pubmed-meshheading:3162042-Dogs,
pubmed-meshheading:3162042-Female,
pubmed-meshheading:3162042-Fibrinolysin,
pubmed-meshheading:3162042-Humans,
pubmed-meshheading:3162042-Infusions, Parenteral,
pubmed-meshheading:3162042-Male,
pubmed-meshheading:3162042-Middle Aged,
pubmed-meshheading:3162042-Nitroglycerin,
pubmed-meshheading:3162042-Perfusion,
pubmed-meshheading:3162042-Stroke Volume,
pubmed-meshheading:3162042-Urokinase-Type Plasminogen Activator
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pubmed:year |
1985
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pubmed:articleTitle |
Indications for and limitations of coronary thrombolysis.
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pubmed:publicationType |
Journal Article
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