Recurrent early XXXX events after thrombolysis for @entity583 .

@entity1 @entity63 @entity1188 @entity951 @entity453 @entity432 @entity583
Myocardium salvaged by early thrombolysis and then perfused through a residual stenosis may be at risk for @entity63 events. To investigate this possibility, the short-term (2-week) clinical course of 81 consecutive @entity1 managed within a randomized intracoronary thrombolysis trial was reviewed. All @entity1 underwent coronary angiography within 5 hours of symptoms of @entity583 and were stratified into the following 3 outcome groups: @entity1 with @entity432 (subtotal group, n = 17), those with @entity432 and @entity1188 artery reperfusion (reperfused group, n = 24) and those with continued @entity1188 @entity432 (occluded group, n = 40). Recurrent @entity63 events were defined as spontaneous @entity951 , provokable angina on predischarge exercise testing, and reinfarction. Eleven of 17 @entity1 (65%) in the subtotal and 11 of 23 @entity1 (48%) in the reperfused groups had an @entity63 event (difference not significant). In contrast, 4 of 37 @entity1 (11%) with occlusion had an @entity63 event (p less than 0.01 compared with @entity1 in the subtotal or reperfused groups). Four @entity1 were excluded because of early (within 72 hours) elective coronary bypass surgery or death from pump failure. To eliminate the impact of multivessel @entity453 ( @entity453 ), 39 @entity1 with 1-vessel @entity453 were analyzed separately. Five of 9 @entity1 (56%) in the subtotal group, 3 of 10 (30%) in the reperfused group and only 2 of 20 (10%) in the occluded group had an @entity63 event. These observations suggest the need for a more definitive revascularization strategy for @entity583 .
