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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1984-5-21
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pubmed:abstractText |
Eighty-one consecutive patients presenting within 3 hours of the onset of acute myocardial infarction (AMI) and without contraindications to thrombolytic or anticoagulant therapy received a 15- to 30-minute intravenous infusion of 750,000 or 1.5 million units of streptokinase (STK) followed by anticoagulation. Treatment was instituted 130 +/- 41 minutes after the onset of symptoms and reperfusion was achieved 36 +/- 26 minutes later. Reperfusion of the "infarct artery" was recognized by indirect clinical criteria in 78 patients (96%). In all 66 patients who underwent coronary angiography 3 to 7 days later, there was complete concordance between indirect and angiographic evidence of reperfusion. In 6 patients there was early reocclusion within 24 hours of treatment; in 4 of these patients, the artery was reopened with an additional dose of STK. Two elderly patients suffered an intracranial hemorrhage and there were 8 other major hemorrhagic complications, of which 7 were related to procedural trauma. Five patients (6.2%) died in the hospital. The results of intravenous STK thrombolytic therapy are compared with those of our previous study using intracoronary STK.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
53
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1209-16
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:6711421-Aged,
pubmed-meshheading:6711421-Constriction, Pathologic,
pubmed-meshheading:6711421-Coronary Angiography,
pubmed-meshheading:6711421-Coronary Circulation,
pubmed-meshheading:6711421-Coronary Disease,
pubmed-meshheading:6711421-Coronary Vessels,
pubmed-meshheading:6711421-Creatine Kinase,
pubmed-meshheading:6711421-Electrocardiography,
pubmed-meshheading:6711421-Humans,
pubmed-meshheading:6711421-Infusions, Parenteral,
pubmed-meshheading:6711421-Isoenzymes,
pubmed-meshheading:6711421-Middle Aged,
pubmed-meshheading:6711421-Myocardial Infarction,
pubmed-meshheading:6711421-Prognosis,
pubmed-meshheading:6711421-Streptokinase
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pubmed:year |
1984
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pubmed:articleTitle |
Intravenous streptokinase in evolving acute myocardial infarction.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.
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