Thrombolysis in acute myocardial infarction improves prognosis and prolongs life but will increase the prevalence of heart failure in the geriatric population

Mervyn S. Gotsman, Dan Admon, Doron Zahger, A. Teddy Weiss

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

This paper will review the hypothesis that early complete thrombolytic therapy in acute myocardial infarction reduces mortality and improves prognosis. ACE inhibitors improve remodelling and anti-platelet drugs or interventional procedures prevent reocclusion of the infarct related coronary artery. Most patients are left with significant myocardial damage and this effect is cumulative with subsequent infarction. The average age of death has increased by 10 years in the last three decades, so that many older patients survive. They have survived acute myocardial infarction and we now have a significant population with important heart failure despite good thrombolytic therapy.

Original languageEnglish
Pages (from-to)S29-S35
JournalInternational Journal of Cardiology
Volume65
Issue numberSUPPL. 1
DOIs
StatePublished - 29 May 1998
Externally publishedYes

Keywords

  • Geriatric
  • Myocardial infarction
  • Thrombolysis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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