Reperfusion therapy of acute ischaemic stroke and acute myocardial infarction: similarities and differences

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F14%3A43907635" target="_blank" >RIV/00216208:11120/14:43907635 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1093/eurheartj/eht409" target="_blank" >http://dx.doi.org/10.1093/eurheartj/eht409</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1093/eurheartj/eht409" target="_blank" >10.1093/eurheartj/eht409</a>

Result language

angličtina

Original language name

Reperfusion therapy of acute ischaemic stroke and acute myocardial infarction: similarities and differences

Original language description

The evolution of reperfusion therapy in acute myocardial infarction and acute ischaemic stroke has many similarities: thrombolysis is superior to placebo, intra-arterial thrombolysis is not superior to intravenous (i.v.), facilitated intervention is of questionable value, and direct mechanical recanalization without thrombolysis is proven (myocardial infarction) or promising (stroke) to be superior to thrombolysis-but only when started with no or minimal delay. However, there are also substantial differences. Direct catheter-based thrombectomy in acute ischaemic stroke is more difficult than primary angioplasty (in ST-elevation myocardial infarction [STEMI]) in many ways: complex pre-intervention diagnostic workup, shorter time window for clinically effective reperfusion, need for an emergent multidisciplinary approach from the first medical contact, vessel tortuosity, vessel fragility, no evidence available about dosage and combination of peri-procedural antithrombotic drugs, risk of

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FA - Cardiovascular diseases including cardio-surgery

OECD FORD branch

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Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2014

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Heart Journal

ISSN

0195-668X

e-ISSN

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Volume of the periodical

35

Issue of the periodical within the volume

3

Country of publishing house

GB - UNITED KINGDOM

Number of pages

11

Pages from-to

147-155

UT code for WoS article

000330441400013

EID of the result in the Scopus database

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