Facts and Hopes in Thrombolysis in Acute Myocardial Infarction

Facts and Hopes in Thrombolysis in Acute Myocardial Infarction PDF Author: S. Effert
Publisher: Springer Science & Business Media
ISBN: 3662071746
Category : Medical
Languages : en
Pages : 225

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Book Description
It was a great pleasure for us to welcome so many experts from all over the world to our symposium in Aachen. We are also pleased - and you can attribute this to my own vanity - with the success and acceptance of the concept of myocardial reperfusion and revascularization - specifically selective intracoronary lysis followed either by PTCA or bypass surgery - which we have been pursuing since 1979. But after the dramatic immediate effects of the first attempts, which you have to experience yourself, we did not expect it to be any different. We decided against performing a randomized study in which every patient is catheterized, and thrombolytic therapy only given to some of the patients, for which we have been criticized at times. At the previous symposium in Aachen in 1983 on the topic of thrombolysis for acute myocardial infarction, in the final session several speakers were asked directly about this topic, and replied that if they were patients they would not want to be randomized into the placebo group. In the meantime positive results from large, randomized studies have been recorded, which are presented in this volume. I mention in particular the Western Washington Study from Dr. Kennedy and the Interuniversity Study in Holland. Aachen, a relatively small city with 250,000 inhabitants, provided the opportunity to treat a relatively large patient population with acute myocardial infarction.

Facts and Hopes in Thrombolysis in Acute Myocardial Infarction

Facts and Hopes in Thrombolysis in Acute Myocardial Infarction PDF Author: S. Effert
Publisher: Springer Science & Business Media
ISBN: 3662071746
Category : Medical
Languages : en
Pages : 225

Get Book Here

Book Description
It was a great pleasure for us to welcome so many experts from all over the world to our symposium in Aachen. We are also pleased - and you can attribute this to my own vanity - with the success and acceptance of the concept of myocardial reperfusion and revascularization - specifically selective intracoronary lysis followed either by PTCA or bypass surgery - which we have been pursuing since 1979. But after the dramatic immediate effects of the first attempts, which you have to experience yourself, we did not expect it to be any different. We decided against performing a randomized study in which every patient is catheterized, and thrombolytic therapy only given to some of the patients, for which we have been criticized at times. At the previous symposium in Aachen in 1983 on the topic of thrombolysis for acute myocardial infarction, in the final session several speakers were asked directly about this topic, and replied that if they were patients they would not want to be randomized into the placebo group. In the meantime positive results from large, randomized studies have been recorded, which are presented in this volume. I mention in particular the Western Washington Study from Dr. Kennedy and the Interuniversity Study in Holland. Aachen, a relatively small city with 250,000 inhabitants, provided the opportunity to treat a relatively large patient population with acute myocardial infarction.

Acute Stroke Treatment

Acute Stroke Treatment PDF Author: Julien Bogousslavsky
Publisher: CRC Press
ISBN: 9781853174131
Category : Medical
Languages : en
Pages : 320

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Book Description
Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.

Cumulated Index Medicus

Cumulated Index Medicus PDF Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1254

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Book Description


Développement et évaluation du médicament

Développement et évaluation du médicament PDF Author: Philippe Lazar
Publisher:
ISBN:
Category : Chemotherapy
Languages : fr
Pages : 550

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Book Description


Coronary Angioplasty

Coronary Angioplasty PDF Author: Bernhard Meier
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 314

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Book Description


Faith in a Seed

Faith in a Seed PDF Author: Henry D. Thoreau
Publisher: Island Press
ISBN: 9781597262873
Category : Nature
Languages : en
Pages : 320

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Book Description
Faith in a Seed contains the hitherto unpublished work The Dispersion of Seeds, one of Henry D. Thoreau's last important research and writing projects, and now his first new book to appear in 125 years. With the remarkable clarity and grace that characterize all of his writings, Thoreau describes the ecological succession of plant species through seed dispersal. The Dispersion of Seeds, which draws on Charles Darwin's theory of natural selection, refutes the then widely accepted theory that some plants spring spontaneously to life, independent of roots, cuttings, or seeds. As Thoreau wrote: "Though I do not believe a plant will spring up where no seed has been, I have great faith in a seed. Convince me that you have a seed there, and I am prepared to expect wonders." Henry D. Thoreau's Faith in a Seed, was first published in hardcover in 1993 by Island Press under the Shearwater Books imprint, which unifies scientific views of nature with humanistic ones. This important work, the first publication of Thoreau's last manuscript, is now available in paperback. Faith in a Seed contains Thoreau's last important research and writing project, The Dispersion of Seeds, along with other natural history writings from late in his life. Edited by Bradley P. Dean, professor of English at East Carolina University and editor of the Thoreau Society Bulletin, these writings demonstrate how a major American author at the height of his career succeeded in making science and literature mutually enriching.

The Canadian Journal of Cardiology

The Canadian Journal of Cardiology PDF Author:
Publisher:
ISBN:
Category : Cardiology
Languages : en
Pages : 1144

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Acta cardiologica

Acta cardiologica PDF Author:
Publisher:
ISBN:
Category : Cardiology
Languages : en
Pages : 400

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Thrombolyse intra-coronarienne dans l'infarctus du myocarde

Thrombolyse intra-coronarienne dans l'infarctus du myocarde PDF Author: Thierry Savin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 286

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Book Description
Le devinir et l'expression fonctionnelle de la sténose résiduelle après thrombolyse intracoronnarienne pour infarctus du myocarde ont été étudiés sur un groupe de 148 patients. La phase aiguë de l'infarctus est dominée par la survenue d'une ŕéocclusion dans plus de 20 % des cas. Ce risque est très favorablement influencé par une héparinothérapie efficace entreprise dès la fin de la procédure de thrombolyse. Celle-ci ramène le taux de réocclusion à des chiffres voisins de ceux notés dans la littérature lorsqu'une angioplastie transluminale a été d'emblée associée à la thrombolyse. En conséquence, hormis certains cas particuliers, la place de l'angioplastie et du pontage aorto-coronarien en phase aiguë d'infarctus est réduite aux cas d'ischémie mal contrôlée par le traitement médical. Au-delà de la phase aiguë, le risque de réocclusion est très faible, contrairement aux diverses manifestations d'ischémie résiduelle, notamment l'angor, lequel touche au moins le quart des patients. Ceux-ci bénéficient alors pleinement d'une angioplastie transluminale ou d'une chirurgie de pontage dont l'indication est portée à l'issue d'un bilan évaluatif pratiqué après plusieurs semaines de recul.

Chronopharmacology

Chronopharmacology PDF Author: Björn Lemmer
Publisher: Marcel Dekker
ISBN:
Category : Medical
Languages : en
Pages : 752

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Book Description
Chronopharmacology is the study of time-dependent variations in the pharmacokinetics, effects, and side and toxic effects of drugs. After three chapters on basic aspects, the remaining 46 contributions cover various types of drugs and discuss the regulatory issues related to circadian mechanisms and the predictive aspects of the science. Annotation(c) 2003 Book News, Inc., Portland, OR (booknews.com)