Short term efficiency of emergency percutaneous transluminal coronary angioplasty compared with thrombolysis in acute myocardial infarction

Objective:To compare the short-terra efficiency of emergency percutaneous transluminal coronary angioplas-ty (PTCA) and thrombolysis in acute myocardial infarction (AMI). Methods:A total of 85 AMI patients were randomly divided into PTCA group (49 cases) .thrombolysis group (36 cases). The clinical data of adverse events and echocar-diography examined of two groups were recorded. Results: For the thrombolysis group the incidents of ventricular arrhythmia (25%), angina after AMI (22. 22%), cardiac shock (25%), performed CABG (13. 89%), left ventricular wall motion score index (WMSI,1.82±0.32). mortality (27. 78%), average hospital days (25. 06±16. 37) d were respectively higher than homologous those [2.04% (P0. 01), 6. 12% (P0. 05), 6. 12% (P0. 05), 1. 47±0. 34 (P0. 01), 0 (P0. 05), 10. 2% (P0. 05), (16.90±10.05) d (P0.01)] of PTCA group, but left ventricular ejection fraction (LVEF) of thrombolysis group was less than PTCA group (0. 39±0. 16 vs 0. 56±0. 13) (P 0. 01). Conclusion: The PTCA may decrease incidents of complication such as ventricular arrhythmia, angina etc.,improve heart function, decrease mortality and average hospital days.