Why the study?
Does immediate balloon angioplasty improve ventricular function compared to elective angioplasty in patients with acute myocardial infarction after successful thrombolytic therapy?
Does immediate balloon angioplasty improve ventricular function compared to elective angioplasty in patients with acute myocardial infarction after successful thrombolytic therapy?
Immediate balloon angioplasty following successful thrombolysis for acute myocardial infarction offers no additional benefit in ventricular function over an elective procedure before discharge.
In this issue of the Journal, Topol and the members of the Thrombolysis and Angioplasty in Myocardial Infarction (TAMI) Study Group1 provide another critical piece of information that is destined to influence present trends in the management of acute myocardial infarction. Their multicenter randomized trial showed no additional improvement in ventricular function when balloon angioplasty carried out immediately after successful thrombolytic therapy was compared with a more elective procedure timed to be performed before hospital discharge. Both surprising and important, these findings provoke a desire to consider the background and the future of angioplasty in patients with acute infarction. . . .
No takes yet. Share an insight, caveat, or question.
Thomas J. Ryan (1987) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: