Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous status
Presented clinical case report illustrates nonstandart approach use repeat thrombolytic therapy patient 49 y.o. with acute circular – apical myocardial infarction, after noneffective primary systemic thrombolytic therapy rtPA. Moreover, repeat thrombolytic therapy in hospital stage was vital alterna...
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| Language: | Russian |
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InterMedservice
2023-11-01
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| Series: | Евразийский Кардиологический Журнал |
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| Online Access: | https://www.heartj.asia/jour/article/view/6430 |
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| author | D. V. Bosikov N. V. Stepanova V. E. Tarasova Yu. M. Botnar |
| author_facet | D. V. Bosikov N. V. Stepanova V. E. Tarasova Yu. M. Botnar |
| author_sort | D. V. Bosikov |
| collection | DOAJ |
| description | Presented clinical case report illustrates nonstandart approach use repeat thrombolytic therapy patient 49 y.o. with acute circular – apical myocardial infarction, after noneffective primary systemic thrombolytic therapy rtPA. Moreover, repeat thrombolytic therapy in hospital stage was vital alternative in case with significant tamely delay mechanical reperfusion. After 90 minutes then introduction rtPA has been done, we got negative dynamic on ECG in the form of additional ST-segment elevation at other (early intact) lead, and reccurent anginous pain refractory to standard doses narcotic analgesic. In connection with remote PCI – center, we supposed significant tamely deIlay to mechanical reperfusion. In view of this factors, high risk to undesired event, refractory anginous pain, we made decision of repeat thrombolytic therapy with non-immunogenic staphilokinase, and it has been effective. At a later time the disease is taking it’s normal course. |
| format | Article |
| id | doaj-art-1f5b0e6f4d364d6da34d0b91e97a8298 |
| institution | Matheson Library |
| issn | 2225-1685 2305-0748 |
| language | Russian |
| publishDate | 2023-11-01 |
| publisher | InterMedservice |
| record_format | Article |
| series | Евразийский Кардиологический Журнал |
| spelling | doaj-art-1f5b0e6f4d364d6da34d0b91e97a82982025-08-03T13:28:57ZrusInterMedserviceЕвразийский Кардиологический Журнал2225-16852305-07482023-11-0104848810.38109/2225-1685-2023-4-84-886327Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous statusD. V. Bosikov0N. V. Stepanova1V. E. Tarasova2Yu. M. Botnar3Mirny Central District HospitalMirny Central District HospitalMirny Central District HospitalE.I. Chazov National Medical Research Center of CardiologyPresented clinical case report illustrates nonstandart approach use repeat thrombolytic therapy patient 49 y.o. with acute circular – apical myocardial infarction, after noneffective primary systemic thrombolytic therapy rtPA. Moreover, repeat thrombolytic therapy in hospital stage was vital alternative in case with significant tamely delay mechanical reperfusion. After 90 minutes then introduction rtPA has been done, we got negative dynamic on ECG in the form of additional ST-segment elevation at other (early intact) lead, and reccurent anginous pain refractory to standard doses narcotic analgesic. In connection with remote PCI – center, we supposed significant tamely deIlay to mechanical reperfusion. In view of this factors, high risk to undesired event, refractory anginous pain, we made decision of repeat thrombolytic therapy with non-immunogenic staphilokinase, and it has been effective. At a later time the disease is taking it’s normal course.https://www.heartj.asia/jour/article/view/6430idiorepeat thrombolytic therapynon-immunogenic staphilokinasealteplaseocclusion ladrefractory anginous paincase report |
| spellingShingle | D. V. Bosikov N. V. Stepanova V. E. Tarasova Yu. M. Botnar Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous status Евразийский Кардиологический Журнал idiorepeat thrombolytic therapy non-immunogenic staphilokinase alteplase occlusion lad refractory anginous pain case report |
| title | Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous status |
| title_full | Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous status |
| title_fullStr | Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous status |
| title_full_unstemmed | Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous status |
| title_short | Case report of repeat thrombolytic therapy in patient with acute circular-apical myocardial infarction, complicated anginous status |
| title_sort | case report of repeat thrombolytic therapy in patient with acute circular apical myocardial infarction complicated anginous status |
| topic | idiorepeat thrombolytic therapy non-immunogenic staphilokinase alteplase occlusion lad refractory anginous pain case report |
| url | https://www.heartj.asia/jour/article/view/6430 |
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