Ross A M
Division of Cardiology, George Washington University, Washington, DC 20037.
Heart Lung. 1990 Nov;19(6):604-7.
The role of angioplasty in acute myocardial infarction has been extensively studied in the past few years. Although angioplasty in some circumstances can be the primary reperfusion intervention, logistic problems and the excellent results of intravenous thrombolytic therapy have resulted in postlytic angioplasty being the preferred use of this interventional strategy. Clinical trials of this strategy have not supported its routine use, however, and a much more selective application of postthrombolytic coronary artery dilation is advocated at this time.
在过去几年中，血管成形术在急性心肌梗死中的作用已得到广泛研究。尽管在某些情况下血管成形术可以作为主要的再灌注干预措施，但后勤问题以及静脉溶栓治疗的出色效果导致溶栓后血管成形术成为这种介入策略的首选应用方式。然而，该策略的临床试验并未支持其常规使用，目前提倡对溶栓后冠状动脉扩张进行更具选择性的应用。
