Treating heart diseaseBMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6980.663b (Published 11 March 1995) Cite this as: BMJ 1995;310:663
Benefits of thrombolysis were overstated
- Anthony Hall,
- D M Humphreys
- Medical adviser Medical director Boehringer Ingelheim, Bracknell, Berkshire RG128YS
EDITOR,—John McMurray and Andrew Rankin's review of thrombolytic treatment in myocardial infarction does not present a balanced precis of current knowledge.1 The authors state that “initiating thrombolysis … 30-60 minutes earlier … will … save about 15 extra lives for each 1000 patients treated” and that “initiating treatment 30-60 minutes earlier can save as many or more lives as substituting accelerated alteplase for conventional streptokinase.” This is not true and is not backed up by the references given.