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Circulation. 1987;76:142-154

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Circulation, Vol 76, 142-154, Copyright © 1987 by American Heart Association


ARTICLES

Thrombolysis in Myocardial Infarction (TIMI) Trial, Phase I: A comparison between intravenous tissue plasminogen activator and intravenous streptokinase. Clinical findings through hospital discharge

JH Chesebro, G Knatterud, R Roberts, J Borer, LS Cohen, J Dalen, HT Dodge, CK Francis, D Hillis and P Ludbrook

Intravenous administration of 80 mg of recombinant tissue plasminogen activator (rt-PA, 40, 20, and 20 mg in successive hours) and streptokinase (SK, 1.5 million units over 1 hr) was compared in a double-blind, randomized trial in 290 patients with evolving acute myocardial infarction. These patients entered the trial within 7 hr of the onset of symptoms and underwent baseline coronary arteriography before thrombolytic therapy was instituted. Ninety minutes after the start of thrombolytic therapy, occluded infarct-related arteries had opened in 62% of 113 patients in the rt-PA and 31% of 119 patients in the SK group (p less than .001). Twice as many occluded infarct-related arteries opened after rt-PA compared with SK at the time of each of seven angiograms obtained during the first 90 min after commencing thrombolytic therapy. Regardless of the time from onset of symptoms to treatment, more arteries were opened after rt-PA than SK. The reduction in circulating fibrinogen and plasminogen and the increase in circulating fibrin split products at 3 and 24 hr were significantly less in patients treated with rt-PA than in those treated with SK (p less than .001). The occurrence of bleeding events, administration of blood transfusions, and reocclusion of the infarct-related artery was comparable in the two groups. Thus, in patients with acute myocardial infarction, rt-PA elicited reperfusion in twice as many occluded infarct-related arteries as compared with SK at each of seven serial observations during the first 90 min after onset of treatment.


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Thrombolysis and Adjunctive Therapy in Acute Myocardial Infarction: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy
Chest, September 1, 2004; 126(3_suppl): 549S - 575S.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
I. Inglessis, J. T. Shin, J. J. Lepore, I. F. Palacios, W. M. Zapol, K. D. Bloch, and M. J. Semigran
Hemodynamic effects of inhaled nitric oxide in right ventricular myocardial infarction and cardiogenic shock
J. Am. Coll. Cardiol., August 18, 2004; 44(4): 793 - 798.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. F. Beltrame, S. P. Turner, S. L. Leslie, P. Solomon, S. B. Freedman, and J. D. Horowitz
The angiographic and clinical benefits of mibefradil in the coronary slow flow phenomenon
J. Am. Coll. Cardiol., July 7, 2004; 44(1): 57 - 62.
[Abstract] [Full Text] [PDF]


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ChestHome page
W.-C. Wu and P. C. Gordon
Invasive Management of Patients With ST Elevation Myocardial Infarction With > 12-h Delay in Presentation: The Question Remains Unanswered
Chest, July 1, 2004; 126(1): 2 - 4.
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Eur Heart JHome page
P Elsman, A.W.J van `t Hof, M.J de Boer, J.C.A Hoorntje, H Suryapranata, J.H.E Dambrink, F Zijlstra, and on behalf of the Zwolle Myocardial Infarction Stud
Role of collateral circulation in the acute phase of ST-segment-elevation myocardial infarction treated with primary coronary intervention
Eur. Heart J., May 2, 2004; 25(10): 854 - 858.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
C. M. Gibson, J. Karha, S. A. Murphy, J. A. de Lemos, D. A. Morrow, R. P. Giugliano, M. T. Roe, R. A. Harrington, C. P. Cannon, E. M. Antman, et al.
Association of a pulsatile blood flow pattern on coronary arteriography and short-term clinical outcomes in acute myocardial infarction
J. Am. Coll. Cardiol., April 7, 2004; 43(7): 1170 - 1176.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
A. F. Merry, P. J. Raudkivi, N. G. Middleton, J. M. McDougall, P. Nand, B. P. Mills, B. J. Webber, C. M. Frampton, and H. D. White
Bivalirudin versus heparin and protamine in off-pump coronary artery bypass surgery
Ann. Thorac. Surg., March 1, 2004; 77(3): 925 - 931.
[Abstract] [Full Text] [PDF]


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HeartHome page
E M Wong, C Pawsey, and H C Lowe
Evidence for "lumen sealing" with sirolimus eluting stents in the treatment of complex coronary artery dissection
Heart, March 1, 2004; 90(3): e13 - 13.
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HeartHome page
M Sezer, Y Nisanci, B Umman, E Yilmaz, A Olcay, F Erzengin, and O Ozsaruhan
New support for clarifying the relation between ST segment resolution and microvascular function: degree of ST segment resolution correlates with the pressure derived collateral flow index
Heart, February 1, 2004; 90(2): 146 - 150.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. G. Steg, E. Bonnefoy, S. Chabaud, F. Lapostolle, P.-Y. Dubien, P. Cristofini, A. Leizorovicz, P. Touboul, and for the Comparison of Angioplasty and Prehospital
Impact of Time to Treatment on Mortality After Prehospital Fibrinolysis or Primary Angioplasty: Data From the CAPTIM Randomized Clinical Trial
Circulation, December 9, 2003; 108(23): 2851 - 2856.
[Abstract] [Full Text] [PDF]


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HeartHome page
T Hozumi, Y Kanzaki, Y Ueda, A Yamamuro, T Takagi, T Akasaka, S Homma, K Yoshida, and J Yoshikawa
Coronary flow velocity analysis during short term follow up after coronary reperfusion: use of transthoracic Doppler echocardiography to predict regional wall motion recovery in patients with acute myocardial infarction
Heart, October 1, 2003; 89(10): 1163 - 1168.
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CirculationHome page
A. Schomig, G. Ndrepepa, J. Mehilli, M. Schwaiger, H. Schuhlen, S. Nekolla, J. Pache, S. Martinoff, H. Bollwein, and A. Kastrati
Therapy-Dependent Influence of Time-to-Treatment Interval on Myocardial Salvage in Patients With Acute Myocardial Infarction Treated With Coronary Artery Stenting or Thrombolysis
Circulation, September 2, 2003; 108(9): 1084 - 1088.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. P. Giugliano, M. T. Roe, R. A. Harrington, C. M. Gibson, U. Zeymer, F. Van de Werf, K. W. Baran, H.-P. Hobbach, L. H. Woodlief, K. L. Hannan, et al.
Combination reperfusion therapy with eptifibatide and reduced-dose tenecteplase for ST-elevation myocardial infarction: Results of the integrilin and tenecteplase in acute myocardial infarction (INTEGRITI) Phase II Angiographic urial
J. Am. Coll. Cardiol., April 16, 2003; 41(8): 1251 - 1260.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
E. Balcells, E. R. Powers, W. Lepper, T. Belcik, K. Wei, M. Ragosta, H. Samady, and J. R. Lindner
Detection of myocardial viability by contrast echocardiography in acute infarction predicts recovery of resting function and contractile reserve
J. Am. Coll. Cardiol., March 5, 2003; 41(5): 827 - 833.
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ANGIOLOGYHome page
A. J. Karavidas, A. D. Vrachatis, M. A. Alpert, D. J. Nikas, D. J. Achtypis, M. G. Foukarakis, E. P. Matsakus, C. S. Thedocharis, and A. A. Zacharoulis
Primary Stenting Produces Earlier and More Efficient Myocardial Reperfusion than Primary PTCA Alone in Patients with Acute ST Segment Elevation MI
Angiology, March 1, 2003; 54(2): 195 - 203.
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J Am Coll CardiolHome page
S. R. Mehta and S. Yusuf
Short- and long-term oral antiplatelet therapy in acute coronary syndromes and percutaneous coronary intervention
J. Am. Coll. Cardiol., February 19, 2003; 41(4_Suppl_S): 79S - 88S.
[Abstract] [Full Text] [PDF]


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QJMHome page
Y. Dundar, R. Hill, R. Dickson, and T. Walley
Comparative efficacy of thrombolytics in acute myocardial infarction: a systematic review
QJM, February 1, 2003; 96(2): 103 - 113.
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CirculationHome page
A. Yamamuro, T. Akasaka, K. Tamita, K. Yamabe, M. Katayama, T. Takagi, and S. Morioka
Coronary Flow Velocity Pattern Immediately After Percutaneous Coronary Intervention as a Predictor of Complications and In-Hospital Survival After Acute Myocardial Infarction
Circulation, December 10, 2002; 106(24): 3051 - 3056.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
P. Voci, E. Mariano, F. Pizzuto, P. E. Puddu, and F. Romeo
Coronary recanalization in anterior myocardial infarction: The open perforator hypothesis
J. Am. Coll. Cardiol., October 2, 2002; 40(7): 1205 - 1213.
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CLIN APPL THROMB HEMOSTHome page
W. F. Baker Jr
Thrombolytic Therapy
Clinical and Applied Thrombosis/Hemostasis, October 1, 2002; 8(4): 291 - 314.
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Anesth. Analg.Home page
R. Chun, B. A. Orser, and M. Madan
Platelet Glycoprotein IIb/IIIa Inhibitors: Overview and Implications for the Anesthesiologist
Anesth. Analg., October 1, 2002; 95(4): 879 - 888.
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J Am Coll CardiolHome page
Z. R. Yousef, S. R. Redwood, C. A. Bucknall, A. N. Sulke, and M. S. Marber
Late intervention after anterior myocardial infarction: effects on left ventricular size, function, quality of life, and exercise tolerance: Results of the Open Artery Trial (TOAT Study)
J. Am. Coll. Cardiol., September 4, 2002; 40(5): 869 - 876.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
C.-K. Wong, J.K. French, M.W. Krucoff, W. Gao, P.E. Aylward, and H.D. White
Slowed ST segment recovery despite early infarct artery patency in patients with Q waves at presentation with a first acute myocardial infarction. Implications of initial Q waves on myocyte reperfusion
Eur. Heart J., September 2, 2002; 23(18): 1449 - 1455.
[Abstract] [Full Text] [PDF]


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J Intensive Care MedHome page
S. Allaqaband and T. K. Bajwa
"Time Is Muscle" Only in Experienced Hands and High-Volume Centers
J Intensive Care Med, July 1, 2002; 17(4): 199 - 201.
[PDF]


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J Am Coll CardiolHome page
C. L. Grines, D. R. Westerhausen Jr, L. L. Grines, J. T. Hanlon, T. L. Logemann, M. Niemela, W. D. Weaver, M. Graham, J. Boura, W. W. O'Neill, et al.
A randomized trial of transfer for primary angioplasty versus on-site thrombolysis in patients with high-risk myocardial infarction: The air primary angioplasty in myocardial infarction study
J. Am. Coll. Cardiol., June 5, 2002; 39(11): 1713 - 1719.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
M.-J. de Boer, J.-P. Ottervanger, A. W. J. van't Hof, J. C. A. Hoorntje, H. Suryapranata, F. Zijlstra, and the Zwolle Myocardial Infarction Study Group
Reperfusion therapy in elderly patients with acute myocardial infarction: A randomized comparison of primary angioplasty and thrombolytic therapy
J. Am. Coll. Cardiol., June 5, 2002; 39(11): 1723 - 1728.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
E.M. Antman, H.A. Cooper, C.M. Gibson, J.A. de Lemos, C.H. McCabe, R.P. Giugliano, P. Coussement, S. Murphy, J. Scherer, K. Anderson, et al.
Determinants of improvement in epicardial flow and myocardial perfusion for ST elevation myocardial infarction. Insights from TIMI 14 and InTIME-II
Eur. Heart J., June 2, 2002; 23(12): 928 - 933.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. L. Januzzi Jr, S. M. Snapinn, P. M. DiBattiste, I.-K. Jang, and P. Theroux
Benefits and Safety of Tirofiban Among Acute Coronary Syndrome Patients With Mild to Moderate Renal Insufficiency: Results From the Platelet Receptor Inhibition in Ischemic Syndrome Management in Patients Limited by Unstable Signs and Symptoms (PRISM-PLUS) Trial
Circulation, May 21, 2002; 105(20): 2361 - 2366.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. K. Dyke, R. C. Becker, N. S. Kleiman, J. S. Hochman, E. G. Bovill, A. M. Lincoff, G. Gerstenblith, V. Dzavik, L. H. Gardner, V. Hasselblad, et al.
First Experience With Direct Factor Xa Inhibition in Patients With Stable Coronary Disease: A Pharmacokinetic and Pharmacodynamic Evaluation
Circulation, May 21, 2002; 105(20): 2385 - 2391.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. A. Kerensky, M. Wade, P. Deedwania, W. E. Boden, C. J. Pepine, and Veterans Affairs Non-Q-Wave Infarction Strategies
Revisiting the culprit lesion in non-Q-wave myocardial infarction: Results from the VANQWISH trial angiographic core laboratory
J. Am. Coll. Cardiol., May 1, 2002; 39(9): 1456 - 1463.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. A. Goldstein
Angiographic plaque complexity: the tip of the unstable plaque iceberg
J. Am. Coll. Cardiol., May 1, 2002; 39(9): 1464 - 1467.
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CLIN APPL THROMB HEMOSTHome page
H. Luciardi, S. Berman, J. Muntaner, F. De La Serna, and R. Altman
Facilitated Thrombolysis: Dethrombosis?
Clinical and Applied Thrombosis/Hemostasis, April 1, 2002; 8(2): 133 - 138.
[Abstract] [PDF]


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Eur Heart JHome page
C.-K. Wong, J.K. French, J. Andrews, M.J. Frey, A.A.J. Adgey, P.E. Aylward, and H.D. White
Usefulness of the presenting electrocardiogram in predicting myocardial salvage with thrombolytic therapy in patients with a first acute myocardial infarction
Eur. Heart J., March 1, 2002; 23(5): 399 - 404.
[Abstract] [Full Text] [PDF]


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Emerg. Med. J.Home page
S D Carley, R Gamon, P A Driscoll, G Brown, and P Wallman
What's the point of ST elevation?
Emerg. Med. J., March 1, 2002; 19(2): 126 - 128.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
S. J. Brener, U. Zeymer, A. A. J. Adgey, T. R. Vrobel, S. G. Ellis, K.-L. Neuhaus, N. Juran, T. B. Ivanc, E. M. Ohman, J. Strony, et al.
Eptifibatide and low-dose tissue plasminogen activator in acute myocardial infarction: The integrilin and low-dose thrombolysis in acute myocardial infarction (INTRO AMI) trial
J. Am. Coll. Cardiol., February 6, 2002; 39(3): 377 - 386.
[Abstract] [Full Text] [PDF]