Death and brain death: a new formulation for Canadian medicine. Canadian Congress Committee on Brain Death. |
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| Authors: | R M Gagnon M Morissette P Laramée G Dumont F Sestier G Leclerc E Goudreau |
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| Institution: | Department of Medicine, University of Montreal, Notre-Dame Hospital. |
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| Abstract: | Between June 1984 and December 1986, 35 patients with acute myocardial infarction received streptokinase intravenously within 3 hours after the beginning of chest pain and underwent percutaneous transluminal coronary angioplasty (PTCA) either immediately (in 2 cases) or 1 to 19 (mean 4.4) days later (in 33). The rate of successful PTCA was 89%. Reocclusion occurred in one patient. The mean percentage of stenosis decreased from 86% to 11%. The mean trans-stenotic gradient was reduced from 41 to 11 mm Hg. The results suggest that in patients whose condition is stable, PTCA performed a few days after thrombolysis is a valuable alternative to more aggressive treatment with immediate PTCA. |
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