THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

It is reported that the implementation in clinical practice thrombolytic (fibrinolytic) therapy resulted inmortality reduction during firstmonth after myocardial infarction from 17-18% to 5-8%. Different details of this therapy are considered: terms of thrombolysis since the beginning of myocardial...

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Main Authors: E. V. Konstantinova, A. V. Magnitskyi, N. A. Schostak
Format: Article
Language:English
Published: Столичная издательская компания 2016-01-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1054
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author E. V. Konstantinova
A. V. Magnitskyi
N. A. Schostak
author_facet E. V. Konstantinova
A. V. Magnitskyi
N. A. Schostak
author_sort E. V. Konstantinova
collection DOAJ
description It is reported that the implementation in clinical practice thrombolytic (fibrinolytic) therapy resulted inmortality reduction during firstmonth after myocardial infarction from 17-18% to 5-8%. Different details of this therapy are considered: terms of thrombolysis since the beginning of myocardial infarction, alternative methods of coronary blood flow recovery , indications and contraindications, complications and side effects, estimation of thrombolysis efficacy. Fibrin-selective and fibrin-non-selective drugs are presented. Different fibrinolytics are described: streptokinase, anistreplase, alteplase, reteplase, tenekteplase. The results of large randomized clinical trials devoted to fibrinolytic therapy of myocardial infarction are analyzed: GISSI, ISSIS, TIMI, GUSTO, INJECT, ASSENT. The possibility to increase in efficacy and safety of fibrinolytics by their combination with acetylsalicylic acid, IIb/IIIa receptor inhibitors and heparins are discussed.
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spelling doaj.art-722abf6c62434e788706c131eac1b3f82024-04-01T07:43:31ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-01-0124586210.20996/1819-6446-2006-2-4-58-621053THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTIONE. V. Konstantinova0A. V. Magnitskyi1N. A. Schostak2Russian state medical University of RoszdravRussian state medical University of RoszdravRussian state medical University of RoszdravIt is reported that the implementation in clinical practice thrombolytic (fibrinolytic) therapy resulted inmortality reduction during firstmonth after myocardial infarction from 17-18% to 5-8%. Different details of this therapy are considered: terms of thrombolysis since the beginning of myocardial infarction, alternative methods of coronary blood flow recovery , indications and contraindications, complications and side effects, estimation of thrombolysis efficacy. Fibrin-selective and fibrin-non-selective drugs are presented. Different fibrinolytics are described: streptokinase, anistreplase, alteplase, reteplase, tenekteplase. The results of large randomized clinical trials devoted to fibrinolytic therapy of myocardial infarction are analyzed: GISSI, ISSIS, TIMI, GUSTO, INJECT, ASSENT. The possibility to increase in efficacy and safety of fibrinolytics by their combination with acetylsalicylic acid, IIb/IIIa receptor inhibitors and heparins are discussed.https://www.rpcardio.online/jour/article/view/1054myocardial infarctionthrombolysisfibrinolyticsstreptokinaseanistreplasealteplasereteplasetenekteplase
spellingShingle E. V. Konstantinova
A. V. Magnitskyi
N. A. Schostak
THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
Рациональная фармакотерапия в кардиологии
myocardial infarction
thrombolysis
fibrinolytics
streptokinase
anistreplase
alteplase
reteplase
tenekteplase
title THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_full THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_fullStr THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_full_unstemmed THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_short THROMBOLYTIC THERAPY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_sort thrombolytic therapy in patients with acute myocardial infarction
topic myocardial infarction
thrombolysis
fibrinolytics
streptokinase
anistreplase
alteplase
reteplase
tenekteplase
url https://www.rpcardio.online/jour/article/view/1054
work_keys_str_mv AT evkonstantinova thrombolytictherapyinpatientswithacutemyocardialinfarction
AT avmagnitskyi thrombolytictherapyinpatientswithacutemyocardialinfarction
AT naschostak thrombolytictherapyinpatientswithacutemyocardialinfarction