Rescue angioplasty for failed thrombolysis in older patients: Insights from the REACT trial
- 作者：Nicholas J. Alp ; Anthony H. Gershlick ; Am ; a Carver ; Suzanne E. Stevens ; Robert Wilcox
- 关键词：Rescue angioplasty ; Thrombolysis ; Myocardial infarction
- 刊名：International Journal of Cardiology
- 出版年：2008
- 期刊代码：128_01675273
- 类别：med
- 出版时间：10 April 2008
- 卷：125
- 期：2
- 页码：254-257
- 文件大小：109 K
摘要
Thrombolysis remains the first-line therapy in a substantial proportion of patients presenting with ST elevation myocardial infarction. The optimal treatment for patients in whom there is failure of reperfusion following thrombolysis is unclear. The Rescue Angioplasty versus Conservative Treatment or Repeat Thrombolysis (REACT) trial demonstrated, in 427 randomly assigned patients with failed reperfusion following thrombolysis, that event-free survival rates were significantly improved with rescue angioplasty compared with either repeat thrombolysis or conservative treatment. However, the safety and efficacy of rescue angioplasty among older patients remains uncertain.