Outcomes are comparable between primary
removal of clot in heart artery with stent angioplasty and clot dissolving
drugs in patients with ST-elevation heart attacks who present early.
Results of STREAM study
1. Best is stent angioplasty if it can be done within
one hour of presentation to the hospital
2. Those who present within three hours of chest pain
and stent angiopslaty cannot be done in one hour there was no difference
between the two treatments (stent angioplasty of clot dissolving drugs) in the
primary composite end point of major adverse cardiovascular events at 30
days.
Comments: In most non busy cardiac center
stent angioplasty labs needs to be informed and angiographer called for doing
the procedure and that take time. In such cases give clot dissolving drugs.
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