Angioplasty for acute coronary syndromes

Alan N. Tenaglia, Richard S. Stack

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

The acute ischemic syndromes (unstable angina and acute myocardial infarction) are often treated with percutaneous transluminal coronary angioplasty. Angioplasty should be considered in patients with unstable angina refractory to medical therapy and in those with evidence for ischemia after medical stabilization. Direct or primary angioplasty is indicated in patients with acute myocardial infarction with contraindications to thrombolytic therapy and is a reasonable alternative even in those eligible for thrombolytics. While there is no role for immediate angioplasty of a patent infarct-related artery following thrombolysis, rescue angioplasty of persistently occluded arteries may be beneficial, although further studies are needed.

Original languageEnglish (US)
Pages (from-to)465-479
Number of pages15
JournalAnnual review of medicine
Volume44
DOIs
StatePublished - Jan 1 1993

Keywords

  • myocardial infarction
  • percutaneous transluminal coronary angioplasty
  • unstable angina

ASJC Scopus subject areas

  • Cell Biology
  • Medicine(all)

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