Objective:Early angiography with subsequent PCI if not contraindicated is the recommended standard of care after successful fibrinolysis,the crucial issue is the optimal time delay between successful lysis and PCI.Methods:Immediate angioplasty following fibrinolytic therapy after cardiopulmonary resuscitation in cardiac arrest caused by acute myocardial infarction were reported in two patients.Results:Following the urgent fibrinolytic therapy after cardiopulmonary resuscitation,coronary angiography revealed that the flow of the culprit artery met TIMI grade 2 in both patients and immediate angioplasty were completed successfully.Conclusions:Thrombolysis after successful resuscitation is effective and immediate angioplasty following fibrinolytic therapy did not increase the risk of additional bleeding.
关键词
急性ST段抬高型心肌梗死/即刻冠状动脉介入治疗/溶栓治疗/心肺复苏
Key words
Acute ST segment elevation myocardial infarction/Immediate angioplasty/Fibrinolytic therapy/Cardiopulmonary resuscitation