Thrombolysis and Angioplasty in Acute Myocardial Infarction

Steven R. Bergmann, Allan S. Lew, Thomas D. Stuckey, Bruce R. Brodie, Richard A. Weintraub, E. Joseph Lebauer, Jeffrey D. Katz, William W. O'neill, Richard S. Stack, Robert M. Califf, Kerry L. Lee, Robert M. Califf, Richard S. Stack, Eric J. Topol, Bertram Pitt, Eric J. Topol, Bertram Pitt, Barry S. George, Richard J. Candela, Barry S. GeorgeRichard J. Candela, Dean J. Kereiakes, Charles W. Abbottsmith, Dean J. Kereiakes, Charles W. Abbotsmith, Thomas J. Ryan

Research output: Contribution to journalLetter

2 Scopus citations

Abstract

To the Editor: The results of the Thrombolysis and Angioplasty in Myocardial Infarction (TAMI) trial, reported by Topol et al. (Sept. 3 issue), suggest that performing immediate angioplasty in patients with high-grade residual coronary stenosis after thrombolytic therapy is not generally warranted in view of the finding that neither global nor regional function is different in patients undergoing immediate as compared with delayed angioplasty. Delaying angioplasty in patients with initially successful thrombolysis but with high-grade residual stenosis did, however, lead to a higher incidence of emergency angioplasty or elective or urgent bypass surgery than in patients undergoing immediate angioplasty. The.

Original languageEnglish (US)
Pages (from-to)576-579
Number of pages4
JournalNew England Journal of Medicine
Volume318
Issue number9
DOIs
StatePublished - Mar 3 1988

ASJC Scopus subject areas

  • Medicine(all)

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    Bergmann, S. R., Lew, A. S., Stuckey, T. D., Brodie, B. R., Weintraub, R. A., Lebauer, E. J., Katz, J. D., O'neill, W. W., Stack, R. S., Califf, R. M., Lee, K. L., Califf, R. M., Stack, R. S., Topol, E. J., Pitt, B., Topol, E. J., Pitt, B., George, B. S., Candela, R. J., ... Ryan, T. J. (1988). Thrombolysis and Angioplasty in Acute Myocardial Infarction. New England Journal of Medicine, 318(9), 576-579. https://doi.org/10.1056/NEJM198803033180911