Why the study?
Does immediate coronary angioplasty improve outcomes compared to intravenous streptokinase in patients with acute myocardial infarction?
Does immediate coronary angioplasty improve outcomes compared to intravenous streptokinase in patients with acute myocardial infarction?
Immediate coronary angioplasty provides superior angiographic and clinical outcomes compared to intravenous streptokinase in the management of acute myocardial infarction.
May favor immediate angioplasty over streptokinase in AMI; leaves open need for randomized confirmation before practice change.
Immediate angioplasty after acute myocardial infarction was associated with a higher rate of patency of the infarct-related artery, a less severe residual stenotic lesion, better left ventricular function, and less recurrent myocardial ischemia and infarction than was intravenous streptokinase.
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Zijlstra et al. (1993) studied this question.
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