Why the study?
Do simple ECG criteria accurately predict inadequate TIMI flow in patients with acute myocardial infarction receiving streptokinase?
Population
100 sequential patients with acute myocardial infarction receiving thrombolytic treatment (streptokinase)
Comparison
Simple ECG criteria vs Coronary angiography at 2 hours
Design
Cohort
Follow-up
2 hours
Authors
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May support ECG triage for rescue PCI after streptokinase; hypothesis-generating and requires prospective validation.
Do simple ECG criteria accurately predict inadequate TIMI flow in patients with acute myocardial infarction receiving streptokinase?
Simple ECG criteria (<50% ST resolution and no AIVR) can accurately identify failure of streptokinase thrombolysis at 2 hours, allowing early triage for rescue angioplasty.
Andrew G.C. Sutton (2000) studied this question.
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