During the outbreak of COVID-19, for patients with acute ST-segment elevation myocardial infarction with unclear infection, the time of primary PCI is uncertain, and it is often expected to exceed 90 minutes or even 120 minutes. In indicated patients, intravenous thrombolysis has significantly improved the recanalization time of criminal vessels.
During the outbreak of COVID-19, for patients with acute ST-segment elevation myocardial infarction with unclear infection, the time of primary PCI is uncertain, and it is often expected to exceed 90 minutes or even 120 minutes. In indicated patients, intravenous thrombolysis has significantly improved the recanalization time of criminal vessels. The purpose of this study was to compare the time from first medical contact to patency and safety (specifically symptom improvement, ECG ST segment) between intravenous thrombolysis and concurrent patients with possible primary PCI in a prospective, multicenter, non-randomized controlled manner. Significant fall, angiographic examination showed criminal blood vessel TIMI blood flow grade 2-3)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
120
Standard intravenous thrombolysis.
Percutaneous coronary stenting
Shanghai Tenth People's Hospital
Shanghai, Shanghai Municipality, China
RECRUITINGrecanalization
Coronary angiography to check for recanalization after thrombolysis(Yes or No)
Time frame: within 24 hours
recanalization time
From first medical contact(FMC) time to recanalization time.
Time frame: within 2 hours
Major bleeding event
Whether there is a major bleeding event with drug thrombolysis(Yes or No)
Time frame: 7 day
Malignant arrhythmia
Malignant arrhythmia incidence
Time frame: 12 hours
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