Treating heart disease

BMJ 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

  1. Anthony Hall,
  2. D M Humphreys
  1. 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.

    The …

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