Medical News
/ Published on January 6, 1998
JAMA
LA ANGIOPLASTIA DEMOSTRO SER SUPERIOR A LA TERAPIA TROMBOLITICA EN RESULTADOS A CORTO PLAZO
Los autores examinaron 10 estudios randomizados -conducidos desde Enero 1985 a Marzo 1996-, que comparaban el uso de la angioplastía coronaria transluminal percutánea, con la trombolisis intravenosa (...
Los autores examinaron 10 estudios randomizados -conducidos desde Enero 1985 a Marzo 1996-, que comparaban el uso de la angioplastía coronaria transluminal percutánea, con la trombolisis intravenosa (estreptokinasa o t-PA) en 2.606 pacientes con sospecha de infarto de miocardio. Dentro de los 30 días del tratamiento, el riesgo de mortalidad fue del 4.4% para los pacientes tratados con angioplastía y del 6.5% para los pacientes que recibieron trombolisis, representando un adicional de 21 vidas salvadas por 1.000 pacientes tratados. La tasa combinada de muerte o segundo ataque cardíaco no fatal fue menor para los pacientes tratados con angioplastía (7.2 vs 11.9%). La incidencia de stroke y stroke hemorrágico fue menor en pacientes con angioplastía (0.7 vs 2.0% y 0.1 vs 1.1%, respectivamente). ![IntraMed](data:image/svg+xml,<?xml version="1.0" encoding="UTF-8"?>%0A<svg id="Capa_1" xmlns="http://www.w3.org/2000/svg" version="1.1" viewBox="0 0 1080 315">%0A <defs>%0A <style>%0A .st0 {%0A fill-rule: evenodd;%0A }%0A%0A .st0, .st1 {%0A fill: %23002bc7;%0A }%0A%0A .st2 {%0A fill: %23fff;%0A }%0A </style>%0A </defs>%0A <g>%0A <circle class="st2" cx="141.5" cy="179.93" r="135.02"/>%0A <g>%0A <path class="st2" d="M350.28,126.97v106.62c0,7-4.04,11.22-10.41,11.22s-10.5-4.22-10.5-11.22v-106.62c0-7,4.13-11.22,10.5-11.22s10.41,4.22,10.41,11.22Z"/>%0A <path class="st2" 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