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Long-term benefits of monteplase before coronary angioplasty in acute myocardial infarction
Authors:Inoue Teruo  Nishiki Ryoichi  Kageyama Manabu  Chida Ryuji  Hayashi Terumi  Takayanagi Kan  Hikichi Yutaka  Node Koichi
Affiliation:Department of Cardiovascular & Renal Medicine, Saga University Faculty of Medicine, Saga, Japan. inouete@med.saga-u.ac.jp
Abstract:
Patients with acute myocardial infarction were randomly assigned to receive direct percutaneous coronary intervention (PCI) or pretreatment with intravenous monteplase followed by PCI. Although the combination of monteplase and PCI did not alter mortality compared with direct PCI, there was a dramatic reduction in the cardiac event rate over a 2-year follow-up compared with direct PCI.
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