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Intracoronary streptokinase administration has been an effective procedure for establishing reperfusion of an evolving myocardial infarction by lysing the thrombus that is usually responsible for the infarction. After reperfusion is accomplished, appropriate management of the patient must be planned to provide the best chance for assuring continued vessel patency, and appropriate management of the patient's residual coronary artery disease also must be considered. In selected patients, percutaneous transluminal coronary angioplasty of the residual coronary lesion has been performed successfully immediately following reperfusion with streptokinase. Early coronary artery bypass graft surgery has been performed with good results in other patients. The appropriate management of the patient with acute myocardial infarction is still evolving, and only with additional study and experience will the "best" approach in the management of these patients be defined.
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
January 1999,
The American journal of cardiology,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
October 1993,
Revista medica de Chile,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
December 1982,
Southern medical journal,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
May 1999,
Journal of internal medicine,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
April 1995,
Chinese medical journal,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
April 1984,
Annals of emergency medicine,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
December 1988,
Circulation,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
January 1997,
The American journal of cardiology,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
September 1991,
Circulation,
M J Friedman, and
J M Kalbfleisch, and
L Robins, and
C W McEntee, and
D L Brewer, and
R C Slagle, and
B O'Meara, and
R Hall, and
L L Conrad, and
H M Hawkins
December 1989,
The Journal of thoracic and cardiovascular surgery,
