Collaterals May Determine the Functional Result of Intracoronary Streptokinase Therapy After Acute Intracoronary Fibrinolysis in Acute Myocardial Infarction

  • H. C. Mehmel
  • F. Schwarz
  • G. Schuler
  • W. Mäurer
  • H. Tillmanns
  • J. Senges
  • W. Kübler
Conference paper

Abstract

The reopening of an occluded coronary artery after an acute myocardial infarction is an attractive therapeutic concept for the salvation of jeopardized myocardium. Although streptokinase infusion reopens the occluded coronary artery in the majority of cases, the functional result, as measured either by left ventricular angiography or by myocardial perfusion studies with thallium-201, is sometimes disappointing. The present study was undertaken in order to elucidate some possible factors which determine the functional result.

Keywords

Ischemia Radionuclide Creatine Streptokinase 

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References

  1. 1.
    Greene DG, Carlisle R, Grant C, Bunnell IL (1967) Estimation of left ventricular volume by one-plane cineangiography. Circulation 35:61PubMedCrossRefGoogle Scholar
  2. 2.
    Rentrop P, Blanke H, Köstering H, Karsch KR (1980) Intrakoronare Streptokinase-Application bei akutem Infarkt und instabiler Angina pectoris. Dtsch Med Wochenschr 105:221PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • H. C. Mehmel
    • 1
  • F. Schwarz
    • 1
  • G. Schuler
    • 1
  • W. Mäurer
    • 1
  • H. Tillmanns
    • 1
  • J. Senges
    • 1
  • W. Kübler
    • 1
  1. 1.Medical University Clinic IIIHeidelbergGermany

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