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February 1, 1989Annual Review of Medicine

Thrombolytic Therapy in Acute Myocardial Infarction

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Why the study?

Does early thrombolytic therapy reduce hospital mortality in patients with acute myocardial infarction?

Population

Patients with acute myocardial infarction

Comparison

Early thrombolytic therapy vs Placebo

Design

Review

Authors

MSMaarten L. Simoons

Discussion

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Overview

May inform historical reperfusion context; leaves open applicability to contemporary PCI-dominant practice.

Structured PICO

Does early thrombolytic therapy reduce hospital mortality in patients with acute myocardial infarction?

P
Population
Patients with acute myocardial infarction
I
Intervention
Early thrombolytic therapy (intravenous streptokinase, urokinase, APSAC, or rt-PA, or intracoronary streptokinase or urokinase)
C
Comparator
Placebo
O
Outcome
Hospital mortalityhard clinical

Early thrombolytic therapy significantly reduces hospital mortality and limits infarct size in patients with acute myocardial infarction, with an acceptable safety profile regarding intracranial bleeding.

Cite This Study

Maarten L. Simoons (1989) studied this question.

synapsesocial.com/papers/6a110ba06da82ae745f33ed5https://doi.org/10.1146/annurev.me.40.020189.001145
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thrombolytic Therapy in Acute Myocardial Infarction: A Review with Current Recommendations1993 · 2 citations
  2. 2Reperfusion therapy in acute myocardial infarction: Present status and controversy1990 · 6 citations
  3. 3Thrombolysis after acute myocardial infarction.1997 · 7 citations
  4. 4Interventional management of acute myocardial infarction (AMI)1997 · 5 citations
  5. 5Medical Therapy of Acute Myocardial Infarction: Part I. Role of Thrombolytic and Antithrombotic Therapy1995 · 3 citations