The state of the coronary arteries during balloon dilatation following thrombolytic therapy of acute myocardial infarction (a quantitative angiographic study)

The paper is concerned with the investigation of 52 patients who received i.v. thrombolytic therapy and "delayed" balloon dilatation of the coronary arteries in the first hours of acute myocardial infarction for the first 6 days. The investigation was repeated 6 mos after the onset of disease. Analysis of the coronaroventriculography results has shown that a combined use of i.v. thrombolytic therapy and delayed balloon dilatation of the coronary arteries results in a considerable and prolonged improvement of vascular permeability attended by a significant improvement of left ventricular local function and a decrease in the number of reocclusions. Infarction-related artery restenosis after combined therapy has little influence on left ventricular function which can be probably associated with a slow rate of its formation. Infarction-related vascular reocclusion leads to marked impairment of left ventricular total and local function.