Treatment and prognosis after myocardial infarction

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7155.417 (Published 08 August 1998) Cite this as: BMJ 1998;317:417

Echocardiography and rescue angioplasty are effective for high risk patients

  1. Andrew Sutton, Research fellow
  1. Cardiothoracic Division, South Cleveland Hospital, Middlesbrough TS4 3BW
  2. Department of Clinical Pharmacology and Cardiology, Ninewells Hospital and Medical School, Dundee DD1 9SY
  3. Department of Cardiology, University Hospital of Wales, Cardiff CF4 4XW

    EDITOR—Lim and Shiels state that pooled data suggest patients do not benefit from rescue angioplasty after failed thrombolysis and that their outcome is adversely affected when interventional techniques fail to open the vessel affected by the infarct.1 They also state that “vigorous clinical assessment” is required before a patient can be classified as high risk after thrombolytic treatment to prevent misinterpretation of signs such as hypotension and sinus tachycardia. Both points should be addressed.

    Firstly, the only large scale randomised trial comparing rescue angioplasty …

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