Publication:
Estrategia fármaco-invasiva en el manejo del infarto agudo al miocardio con supradesnivel del ST

cris.virtual.author-orcid0000-0002-8052-0959
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cris.virtual.departmentFacultad de Medicina
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cris.virtualsource.author-orcidbfdf8eb7-65c9-41cf-8212-6a17c13129f6
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cris.virtualsource.departmentbfdf8eb7-65c9-41cf-8212-6a17c13129f6
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dc.contributor.authorDr. Alvarado-Livacic, Cristóbal
dc.contributor.authorHameau, René
dc.contributor.authorBlacud, Ricardo
dc.contributor.authorFanta, Mario
dc.contributor.authorHameau, Cristobal
dc.contributor.authorOlmos, Alfonso
dc.contributor.authorPérez, Osvaldo
dc.date.accessioned2024-09-25T15:31:30Z
dc.date.available2024-09-25T15:31:30Z
dc.date.issued2022
dc.description.abstractBackground: 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.doi10.4067/s0034-98872022001201619
dc.identifier.urihttps://repositorio.ucsc.cl/handle/25022009/11189
dc.languageeng
dc.publisherSociedad Médica de Santiago
dc.rightsacceso abierto
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAngioplasty
dc.subjectBalloon
dc.subjectCoronary
dc.subjectMyocardial infarction
dc.subjectThrombolytic therapy
dc.titleEstrategia fármaco-invasiva en el manejo del infarto agudo al miocardio con supradesnivel del ST
dc.title.alternativePharmaco-invasive approach in the management of acute myocardial infarction. Analysis of 144 cases
dc.typeartículo
dspace.entity.typePublication
oairecerif.author.affiliationFacultad de Medicina
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