Heart Attack Lecture


"Clot buster" v/s angioplasty/stent?
Which one to use?

  • Only 20% of hospitals in the USA are equipped to perform emergency angioplasty & stents.
  • Time is of essence in saving threatened heart muscle. Therefore, treatment with a "clot buster" mediciation is strongly considered when access to a cardiac cath lab is not readily available, i.e., when the transporation time to a properly equipped facility is usually more than an hour).
  • Many patients in the USA, who have received a "clot buster" medication end up having cardiac catheterization following a heart attack. Angioplasty or use of a stent is frequently applied in such patients.
  • In some cases, physicians may choose to delay cardiac catheterization if a subsequent stress test is acceptable.
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