al Khateeb H, Raffa H, al Gazyerli N
Indian Heart J. 1989 Jan-Feb;41(1):14-8.
79 consecutive patients with documented acute myocardial infarction were admitted. 29 of these patients underwent early cardiac catheterisation, coronary arteriography and intracoronary streptokinase injection usually in response to post-myocardial infarction angina. Satisfactory reperfusion occurred in 80% of the patients with the least morbidity and mortality rate compared with medically anticoagulation treated group. 32 patients underwent elective catheterisation and coronary angiography between 1-16 days (average 7.6 days). 18 patients were not catheterised at all. This study evaluates our results of early thrombolytic, angioplastic or surgical revascularisation, and reviews the risk benefit value of early cardiac catheterisation and coronary angiography in patients with acute myocardial infarction.
收治了79例确诊为急性心肌梗死的患者。其中29例患者通常因心肌梗死后心绞痛而接受了早期心脏导管插入术、冠状动脉造影和冠状动脉内链激酶注射。与药物抗凝治疗组相比，80%的患者实现了满意的再灌注，发病率和死亡率最低。32例患者在1至16天（平均7.6天）之间接受了选择性导管插入术和冠状动脉造影。18例患者根本未进行导管插入术。本研究评估了我们早期溶栓、血管成形术或手术血运重建的结果，并回顾了急性心肌梗死患者早期心脏导管插入术和冠状动脉造影的风险效益值。
