Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reaction

Hypotension prevalence and severity was investigated in two regimens of streptokinase (SK) administration in acute myocardial infarction (AMI). Group I (n = 17) received intravenous SK, 0.75 mln IE, in 10 minutes; Group II (n = 9) - 1.5 mln IE, in 45 minutes. In bolus SK administration, maximal bloo...

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Main Authors: V. A. Stolyarov, I. V. Maksimov, V. A. Markov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2005-04-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/2464
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author V. A. Stolyarov
I. V. Maksimov
V. A. Markov
author_facet V. A. Stolyarov
I. V. Maksimov
V. A. Markov
author_sort V. A. Stolyarov
collection DOAJ
description Hypotension prevalence and severity was investigated in two regimens of streptokinase (SK) administration in acute myocardial infarction (AMI). Group I (n = 17) received intravenous SK, 0.75 mln IE, in 10 minutes; Group II (n = 9) - 1.5 mln IE, in 45 minutes. In bolus SK administration, maximal blood pressure (BP) decrease was comparable to that in slow infusion group, but observed earlier - at minute 7.5 ± 0,4, vs minute 12.5 ± 6.8 (p = 0.003). In Group I, 3 cases of collapse were registered, with little effect from mezaton administration. Significant BPfall could be expected in patients with posterior MI, right wall damage and bradycardia. To prevent severe hypotensive reaction, bolus SK administration should be optimized.
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spelling doaj.art-2b9dabfc8e6841f08f245025986a390e2023-03-29T21:23:11Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202005-04-010238422192Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reactionV. A. Stolyarov0I. V. Maksimov1V. A. Markov2НИИ кардиологии Томского научного центра СО РАМННИИ кардиологии Томского научного центра СО РАМННИИ кардиологии Томского научного центра СО РАМНHypotension prevalence and severity was investigated in two regimens of streptokinase (SK) administration in acute myocardial infarction (AMI). Group I (n = 17) received intravenous SK, 0.75 mln IE, in 10 minutes; Group II (n = 9) - 1.5 mln IE, in 45 minutes. In bolus SK administration, maximal blood pressure (BP) decrease was comparable to that in slow infusion group, but observed earlier - at minute 7.5 ± 0,4, vs minute 12.5 ± 6.8 (p = 0.003). In Group I, 3 cases of collapse were registered, with little effect from mezaton administration. Significant BPfall could be expected in patients with posterior MI, right wall damage and bradycardia. To prevent severe hypotensive reaction, bolus SK administration should be optimized.https://russjcardiol.elpub.ru/jour/article/view/2464myocardial infarctionstreptokinasehypotensionno
spellingShingle V. A. Stolyarov
I. V. Maksimov
V. A. Markov
Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reaction
Российский кардиологический журнал
myocardial infarction
streptokinase
hypotension
no
title Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reaction
title_full Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reaction
title_fullStr Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reaction
title_full_unstemmed Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reaction
title_short Bolus streptokinase administration in acute myocardial infarction: features of hypotensive reaction
title_sort bolus streptokinase administration in acute myocardial infarction features of hypotensive reaction
topic myocardial infarction
streptokinase
hypotension
no
url https://russjcardiol.elpub.ru/jour/article/view/2464
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AT ivmaksimov bolusstreptokinaseadministrationinacutemyocardialinfarctionfeaturesofhypotensivereaction
AT vamarkov bolusstreptokinaseadministrationinacutemyocardialinfarctionfeaturesofhypotensivereaction