AIMS: The authors performed urgent coronarography and revascularisation after administering a combined half dose of alteplase (tissue plazminogen activator) and eptifibatide (glycoprotein II/bIIIa receptor blocking agent) to @entity1 suffering from @entity1187 with persistent ST-segment elevation. METHODS: During the period between 01 April to 15 December, 2001. 20 @entity1 (16 @entity1 and 4 @entity1 , mean age: 55.6 years) were treated. The localization of @entity1188 on the basis of ST-segment elevation was: 9 cases inferior, 10 cases anterior and @entity1 with @entity714 in 1 cases. The mean time between the @entity1188 related @entity951 and hospital admission was 158 (30-600) minutes. The combined medical therapy was initiated after 34 (15-150) minutes on the average admission, and 123 (71-210) minutes later the @entity1 were in the catheter laboratory. RESULTS: Coronarography showed TIMI-0 flow in 4 cases, TIMI-2 flow in 3 cases and TIMI-3 flow in 13 cases. Acute percutan coronary intervention was done in 14 cases, aorto-coronary bypass surgery was performed in 4 cases (2 of them were emergency operations, the other 2 were done electively). Besides postpunctional haematomas, @entity548 in the form of haematemesis were observed in 2 cases, but there was no need for transfusion. The mean CK-MB release (between 14 @entity1 ) was 230.4 (30-1176) U/l. One @entity1 died after the emergency bypass surgery. CONCLUSIONS: On the basis of initial results the authors emphasize the importance of working out the optimal revascularisation strategy for @entity1187 @entity1 with ST-segment elevation in every Hungarian catheter centre. The authors find this method--in their case the catheter laboratory is 60 kms away, time of transport is approximately 70-90 minutes--an effective and safe alternative therapy in @entity1 under the age of 75 years with @entity583 .

[Facilitated revascularisation in XXXX with ST-segment elevation].

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient', 'men'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndrome', 'acute coronary syndromes'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhagic complications'] @entity714 :: ('MESH:D002037', 'Disease') :: ['left bundle branch block'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarct', 'infarction'] @entity951 :: ('MESH:D000787', 'Disease') :: ['angina'] @entity583 :: ('MESH:D009203', 'Disease') :: ['acute myocardial infarction']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
