ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology
Pre-hospital thrombolytic therapy [Anatol J Cardiol]
Anatol J Cardiol. 2007; 7(1): 59-64

Pre-hospital thrombolytic therapy

Mehdi Zoghi1
Ege Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, İzmir, Türkiye

Reperfusion therapy with intravenous thrombolytic agents in acute ST-segment elevation myocardial infarction reduces the infarct size, preserves ventricular function, and therefore reduces mortality. Experimental and clinical studies also showed that time to successful reperfusion is a critical determinant of survival. In this paper the importance of very early (pre-hospital) thrombolysis, its comparison with percutaneous interventional therapy and the feasibility in Turkey are discussed. Although primary coronary interventions are preferred in patients with ST-segment elevation myocardial infarction intravenous, early bolus thrombolysis in the pre-hospital stage provides a therapeutic option as good as primary angioplasty. Until necessary policy and technical substructure are completed cardiology centers should apply the most suitable reperfusion strategy according with the guidelines, feasibilities and their experience.

Keywords: Myocardial infarction, pre-hospital thrombolytic therapy

Hastane öncesi trombolitik tedavi

Mehdi Zoghi1
Ege Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, İzmir, Türkiye

Anahtar Kelimeler: Miyokard infarktüsü, hastane öncesi trombolitik tedavi

Mehdi Zoghi. Pre-hospital thrombolytic therapy. Anatol J Cardiol. 2007; 7(1): 59-64
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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