EFFECT OF THROMBOLYTIC THERAPY AND PTCA ON SALVAGING THE ISCHEMIC MYOCARDIUM DIAGNOSTIC ROLE OF ACUTE MYOCARDIAL PERFUSION IMAGING

Tarek Mohamed Samir EI-Gohary;

Abstract


Several study groups had investigated the role of rescue angioplasty following unsuccessful thrombolytic therapy for myocardial infarction, in aggregate, these studies strongly supported the notion that complete and brisk reperfusion of the infarct-related artery is an
independent predictor of short term survival.


We studied 52 patients admitted to the Critical care Department of Cairo University with first attack of MI. All patients received thrombolytic therapy and were subjected to 2 sets of perfusion imaging aiming at:

1- Assessing the feasibility of Tc-99m sestamibi nuclear imaging as a non invasive and accurate technique for estimation of reperfusion strategies and myocardial salvage.

2- Selecting patients early in the acute phase of MI with failed thrombolysis who are most likely to benefit from rescue PTCA, and

3- Reporting our own experience in rescue angioplasty regarding its angiographic and scintigraphic success rate and its possible complications.


Other data

Title EFFECT OF THROMBOLYTIC THERAPY AND PTCA ON SALVAGING THE ISCHEMIC MYOCARDIUM DIAGNOSTIC ROLE OF ACUTE MYOCARDIAL PERFUSION IMAGING
Other Titles تأثير العقاقير المذيبة للجلطة والتوسيع البالونى للشريان التاجى على انقاذ المناطق المقفرة فى عضلة القلب الدور التشخيصى للمسح الذرى الفورى لعضلة القلب
Authors Tarek Mohamed Samir EI-Gohary
Issue Date 2000

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