Publication: Estrategia fármaco-invasiva en el manejo del infarto agudo al miocardio con supradesnivel del ST
cris.virtual.author-orcid | 0000-0002-8052-0959 | |
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cris.virtual.department | Facultad de Medicina | |
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cris.virtualsource.author-orcid | bfdf8eb7-65c9-41cf-8212-6a17c13129f6 | |
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cris.virtualsource.department | bfdf8eb7-65c9-41cf-8212-6a17c13129f6 | |
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dc.contributor.author | Dr. Alvarado-Livacic, Cristóbal | |
dc.contributor.author | Hameau, René | |
dc.contributor.author | Blacud, Ricardo | |
dc.contributor.author | Fanta, Mario | |
dc.contributor.author | Hameau, Cristobal | |
dc.contributor.author | Olmos, Alfonso | |
dc.contributor.author | Pérez, Osvaldo | |
dc.date.accessioned | 2024-09-25T15:31:30Z | |
dc.date.available | 2024-09-25T15:31:30Z | |
dc.date.issued | 2022 | |
dc.description.abstract | Background: In those patients who do not have timely access to primary angioplasty, the pharmaco-invasive approach, that is, the use of thrombolysis as a bridging measure prior to the coronary angiography, is a safe alternative. Aim: To describe the features of patients with an acute ST-elevation myocardial infarction (STEMI) treated with a pharmaco-invasive strategy. Material and Methods: Descriptive observational study of 144 patients with mean age of 46 years with STEMI who received a dose of thrombolytic prior to their referral for primary angioplasty at a public hospital between 2018 and 2021. Results: There were no differences the clinical presentation according to the Killip score at admission between thrombolyzed and non-thrombolyzed patients (p = ns). Fifty-three percent of non-thrombolyzed patients were admitted with an occluded vessel (TIMI 0) compared with 27% of thrombolyzed patients (p < 0.001). The thrombolyzed group required significantly less use of thromboaspiration (3.5 and 8.4% respectively; p = 0.014). Despite this, 91 and 92% of non-thrombolyzed and thrombolyzed patients achieved a post-angioplasty TIMI 3 flow. Long-term survival was 91 and 86% in thrombolyzed and non-thrombolyzed patients, respectively (p = ns). Conclusions: The pharmaco-invasive strategy is a safe alternative when compared to primary angioplasty in centers that don`t have timely access to Interventional Cardiology. | |
dc.identifier.doi | 10.4067/s0034-98872022001201619 | |
dc.identifier.uri | https://repositorio.ucsc.cl/handle/25022009/11189 | |
dc.language | eng | |
dc.publisher | Sociedad Médica de Santiago | |
dc.rights | acceso abierto | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Angioplasty | |
dc.subject | Balloon | |
dc.subject | Coronary | |
dc.subject | Myocardial infarction | |
dc.subject | Thrombolytic therapy | |
dc.title | Estrategia fármaco-invasiva en el manejo del infarto agudo al miocardio con supradesnivel del ST | |
dc.title.alternative | Pharmaco-invasive approach in the management of acute myocardial infarction. Analysis of 144 cases | |
dc.type | artículo | |
dspace.entity.type | Publication | |
oairecerif.author.affiliation | Facultad de Medicina | |
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