open access

Vol 64, No 8 (2006)
Other
Published online: 2006-09-13
Submitted: 2012-12-28
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Original article
Is transport with platelet GP IIb/IIIa inhibition for primary percutaneous coronary intervention more efficient than on-site thrombolysis in patients with STEMI admitted to community hospitals? Randomised study. Early results

Sławomir Dobrzycki, Grzegorz Mężyński, Paweł Kralisz, Przemysław Prokopczuk, Konrad Nowak, Wacław Kochman, Jerzy Żuk, Hanna Bachórzewska-Gajewska, Zdzisław Sawicki, Bogusław Poniatowski, Janusz Korecki, Włodzimierz J. Musiał
Kardiol Pol 2006;64(8):793-799.

open access

Vol 64, No 8 (2006)
Other
Published online: 2006-09-13
Submitted: 2012-12-28

Abstract

Introduction: The advantage of primary percutaneous coronary intervention (pPCI) in the management of ST-elevation myocardial infarction (STEMI) over thrombolytic therapy has been demonstrated. However, an optimal medical treatment of STEMI patients admitted to regional hospitals without catheterisation facilities has not yet been established. Delay in initiation of pPCI resulting from transportation to the catheterisation laboratory may diminish the benefits of such therapy in comparison with thrombolysis administered in a regional hospital. Early initiation of therapy with platelet glycoprotein IIb/IIIa receptor inhibitor, which provides protection for the transportation, may be a reasonable solution to maintain the advantage of pPCI over thrombolysis alone in STEMI patients. Methods: The studied group comprised patients with STEMI (infarct duration time

Abstract

Introduction: The advantage of primary percutaneous coronary intervention (pPCI) in the management of ST-elevation myocardial infarction (STEMI) over thrombolytic therapy has been demonstrated. However, an optimal medical treatment of STEMI patients admitted to regional hospitals without catheterisation facilities has not yet been established. Delay in initiation of pPCI resulting from transportation to the catheterisation laboratory may diminish the benefits of such therapy in comparison with thrombolysis administered in a regional hospital. Early initiation of therapy with platelet glycoprotein IIb/IIIa receptor inhibitor, which provides protection for the transportation, may be a reasonable solution to maintain the advantage of pPCI over thrombolysis alone in STEMI patients. Methods: The studied group comprised patients with STEMI (infarct duration time
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Keywords

primary coronary angioplasty; thrombolysis; tirofiban

About this article
Title

Original article
Is transport with platelet GP IIb/IIIa inhibition for primary percutaneous coronary intervention more efficient than on-site thrombolysis in patients with STEMI admitted to community hospitals? Randomised study. Early results

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 8 (2006)

Pages

793-799

Published online

2006-09-13

Bibliographic record

Kardiol Pol 2006;64(8):793-799.

Keywords

primary coronary angioplasty
thrombolysis
tirofiban

Authors

Sławomir Dobrzycki
Grzegorz Mężyński
Paweł Kralisz
Przemysław Prokopczuk
Konrad Nowak
Wacław Kochman
Jerzy Żuk
Hanna Bachórzewska-Gajewska
Zdzisław Sawicki
Bogusław Poniatowski
Janusz Korecki
Włodzimierz J. Musiał

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