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. 2004;44(5):40-2.

[Comparative assessment of efficacy of tissue plasminogen activator and streptokinase in the treatment of patients with acute myocardial infarction]

[Article in Russian]
V A Shul'man  1 , V V Radionov, S E Golovenkin, V E Pediashov, K A Linev, O M Titarenko, V N Simulin, V L Pasal'skiĭ, L S Peterson, G I Necheporenko, L I Kononova, E V Peterson
Affiliations
  • PMID: 15159721

[Comparative assessment of efficacy of tissue plasminogen activator and streptokinase in the treatment of patients with acute myocardial infarction]

[Article in Russian]
V A Shul'man et al. Kardiologiia. 2004.

Abstract

Aim: To compare results of treatment of patients with acute myocardial infarction with tissue plasminogen activator (TPA) and streptokinase.

Material and methods: TPA (100 mg intravenously) and streptokinase (1500000 U intravenously) were used for thrombolytic therapy of acute myocardial infarction in 114 and 118 patients, respectively.

Results: TPA treated compared with streptokinase treated patients were characterized by less frequent serious cardiac rhythm and conduction disturbances and hypotension during thrombolysis (p<0.05), as well as less frequent pathological Q-waves formation (p<0.001). More than 50% lowering of initially elevated ST-segment by 90-th minute occurred more often in TPA treated patients (p<0.001). Differences between TPA and streptokinase treated patients in mortality (3.5 and 7.6%, respectively), reinfarction rate during first 24 hours (3.5 and 5.1%, respectively), aneurysm formation (9.1 and 14.7%, respectively), and heart failure development (4.5 and 11.0%, respectively) were not significant.

Conclusion: The use of TPA for thrombolytic therapy of patients with acute myocardial infarction gave better results than the use of streptokinase.

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