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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1987-9-8
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pubmed:abstractText |
An intravenous infusion of 40 mg of recombinant tissue-type plasminogen activator (rt-PA) was given intravenously over 90 minutes to 123 patients with acute myocardial infarction (AMI) of less than 4 hours' duration. A coronary angiogram was recorded at the end of the infusion in 119 patients. Central assessment of the angiograms revealed a patent infarct-related artery in 78 patients (patency rate 66%, 95% confidence limits 57 to 74%). Patients with a patent infarct-related artery at the first angiogram were randomized in a double-blind manner to receive a subsequent 6-hour infusion of either 30 mg of rt-PA or placebo. All patients had received an initial bolus of 5,000 IU of heparin and then 1,000 IU/hour until a second angiogram was recorded 6 to 24 hours after the start of the second perfusion. At central assessment of the second coronary angiogram the reocclusion rate was 2 of 36 patients who received rt-PA at the second infusion and 3 of 37 patients not receiving this drug (or the 2 groups combined 7%, 95% confidence limits 2 to 15%). Three of 60 patients (5%, 95% confidence limits 1 to 14%) with patent arteries on both previous angiograms had a later occlusion as judged on the angiogram recorded at hospital discharge. No difference in late reocclusion rates between the 2 treatment groups was observed.
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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 |
Aug
|
pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
1
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pubmed:volume |
60
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
N
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pubmed:pagination |
231-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3113222-Clinical Trials as Topic,
pubmed-meshheading:3113222-Coronary Angiography,
pubmed-meshheading:3113222-Double-Blind Method,
pubmed-meshheading:3113222-Electrocardiography,
pubmed-meshheading:3113222-Humans,
pubmed-meshheading:3113222-Infusions, Intravenous,
pubmed-meshheading:3113222-Myocardial Infarction,
pubmed-meshheading:3113222-Random Allocation,
pubmed-meshheading:3113222-Recombinant Proteins,
pubmed-meshheading:3113222-Recurrence,
pubmed-meshheading:3113222-Time Factors,
pubmed-meshheading:3113222-Tissue Plasminogen Activator,
pubmed-meshheading:3113222-Vascular Patency
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pubmed:year |
1987
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pubmed:articleTitle |
Acute coronary thrombolysis with recombinant human tissue-type plasminogen activator: initial patency and influence of maintained infusion on reocclusion rate.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|