If primary PCI cannot be performed timely after STEMI diagnosis, fibrinolytic therapy
is recommended within 12 hours of symptoms in patients without contra-indications.
In conclusion, considering that outcomes after cardiac arrest are generally dismal and that fibrinolytic therapy
is a potentially life-saving intervention, the ED clinician must not hesitate to administer thrombolytics whenever PE is considered the most likely cause of cardiac arrest.
If percutaneous coronary intervention is planned in patients who have been given fibrinolytic therapy
There were two groups of patients; Group I (n=35) patients treated with fibrinolytic therapy
, Group II (n=43) patients treated with open decortication.
for acute myocardial infarction
for mechanical valve thrombosis of aortic prosthesis is a reasonable alternative to surgery in the first trimester of pregnancy.
• NQF 0164 CMS60 AMI-7a- Fibrinolytic Therapy
Received Within 30 minutes of Hospital Arrival v2
The clinical need is greater in centers without on-site primary PCI, because the implications of false catheterization laboratory activation are not as significant as unnecessary administration of fibrinolytic therapy
. Potential strategies include differential algorithms for transfer to primary PCI centers for LBBB patients compared with those who have ST-segment elevation and normal conduction; use of more specific ECG criteria; increased use of cardiac biomarkers, including sensitive assays for cardiac troponins; and bedside echocardiography to improve diagnostic accuracy and timely intervention.
Determination of DD concentration is a valid measure for quantifying the efficacy of fibrinolytic therapy
In this context, it is not surprising that fibrinolytic therapy
has been unsuccessful in such cases .
Trialists' (FTT) Collaborative Group (1994) "Indications for Fibrinolytic Therapy
in Suspected Acute Myocardial Infarction: Collaborative Overview of Early Mortality and Major Morbidity Results from All Randomized Trials of More than 1,000 Patients." Lancet 343 (8893): 311-22.
These patients did not receive fibrinolytic therapy
. The detailed causes of deaths in patients with RHT complicated with acute PE are depicted in Table 1.
As with STEMI patients, pre- arrival hospital notification by the transporting EMS unit significantly increase the percentage of patients with acute stroke who receive fibrinolytic therapy
. The 2010 AHA Guidelines for CPR recommend that every hospital with an Emergency Department have a written plan that is communicated to EMS systems describing how patients with acute stroke are to be managed in that institution.
These include aspirin, P2Y12 platelet inhibitors, other antithrombotic agents, fibrinolytic therapy
, and NSAIDs.
For example, the new society recommendations say that either video-assisted lung surgery or fibrinolytic therapy
are appropriate options for managing loculated empyema.