100 QUESTIONS IN CARDIOLOGY

(Michael S) #1
rather than PTCA. Mean time to revascularisation was under 1

hour in the trial, and quite how much later such benefit might

extend is unclear. Care should include vigorous medical

stabilisation in all such patients with thrombolysis, inotropes,

balloon pumping and even ventilation if necessary with a view to

late revascularisation (PTCA or CABG). In young patients early

(<48 hours) revascularisation should be considered.

RReeffeerreenncceess
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4 Norell MS. Randomised trials in cardiogenic shock: what’s the
problem? Eur Heart J1999; 2200 : 987–8.
5 Hochman J, Boland J, Sleeper L et al. Early revascularisation in acute
myocardial infarction complicated by cardiogenic shock. N Engl J Med
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