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Effect on early int...
Effect on early intravenous rt-PA on infarct size estimated from serum enzyme activity : results from the TEAHAT Study
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Risenfors, M (författare)
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Hartford, M (författare)
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Dellborg, M (författare)
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Luepker, R (författare)
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Hjalmarson, Å (författare)
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Swedberg, K (författare)
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Holmberg, S (författare)
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- Herlitz, Johan (författare)
- [external],Prehospital akutsjukvård
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(creator_code:org_t)
- Wiley-Blackwell Publishing Ltd. 1991
- 1991
- Engelska.
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Ingår i: Journal of Internal Medicine. - : Wiley-Blackwell Publishing Ltd.. - 0954-6820 .- 1365-2796. ; 734:suppl 1, s. 11-18
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- In 319 patients who participated in a double-blind trial to evaluate the effect of early rt-PA administration compared to placebo in suspected acute myocardial infarction, infarct size was assessed from analyses of serum activity of lactate dehydrogenase isoenzyme 1 (LD 1). Treatment was always started less than 3 h after the onset of symptoms, with one-third of the patients' treatment being initiated outside the hospital. The maximum activity of LD 1 was reduced by 32%, from 13.3 mu kat l-1 in placebo to 9.0 mu kat l-1 in rt-PA treated patients (P = 0.001). A reduction in LD-1 activity after rt-PA treatment was restricted to patients with ST-elevation in the initial electrocardiogram, and was more pronounced in patients with previous ischaemic heart disease, above median age, and in those with a shorter delay in initiation of treatment. We conclude that very early intravenous treatment with rt-PA limits indirect signs of infarct size. The effect appears to be restricted to patients with ST-segment elevation in their initial electrocardiogram.
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- art (ämneskategori)
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