Reperfusion and Revascularization in Acute Myocardial Infarction (Sitzungsberichte der Heidelberger Akademie der Wissenschaften, 1988 / 1988/2)

Numerous new and important findings relating to the reconstruction of disturbed circulatory conditions in the coronary area are reported in this book. Fundamental aspects of therapeutic and prophylactic possibilities are covered in detail. Recommendations are then made to practitioners and clinicians for their everyday work. Critical standards for the indications and risks of the recommended procedures are given. Particular emphasis is laid on the possibilities for revascularization by means of dissolution of blood thrombi. The book aims to present top-level guidance to the pros and cons of reconstructive measures in coronary disorders. Front Matter....Pages I-XIX Front Matter....Pages 1-1 Acute Regional Ischemia....Pages 3-9 The Role of Free Radical Scavengers in Reperfusion....Pages 10-22 Calcium and the Stunned Myocardium....Pages 23-40 The No-Reflow Phenomenon....Pages 41-45 Microcirculation in Myocardial Ischemia and Reperfusion....Pages 46-51 Reperfusion Injury....Pages 52-55 Discussion: Session I — Pathophysiology of Salvage of Ischemic Myocardium by Reperfusion....Pages 56-59 Back Matter....Pages 60-63 Front Matter....Pages 65-65 Thrombolysis in Acute Myocardial Infarction....Pages 67-67 Streptokinase in Acute Myocardial Infarction — Benefits and Risks....Pages 68-75 Results from ISAM and GISSI....Pages 76-79 Prehospital Thrombolysis in Acute Myocardial Infarction: The Jerusalem Experience....Pages 80-94 Extracorporal Plasma Therapy in the Treatment of Severe Hyper-β-lipoproteinemia: The HELP System....Pages 95-99 Very Early Urokinase Treatment in Acute Myocardial Infarction....Pages 100-104 Prourokinase in Acute Myocardial Infarction: Is it Effective?....Pages 105-107 Recombinant Tissue-Type Plasminogen Activator in the Treatment of Myocardial Infarction....Pages 108-110 Thrombolytic Agents in Early Myocardial Infarction — An Overview in 1987....Pages 111-127 Is There a Role for Thrombolysis in Non-Q-Wave Myocardial Infarction and Unstable Angina Pectoris?....Pages 128-135 Anticoagulants After Thrombolysis....Pages 136-143 Drug Therapy in Coronary Heart Disease, Especially in the Management of Chronic Myocardial Ischemia....Pages 144-148 Back Matter....Pages 149-152 Front Matter....Pages 153-153 Recommendations of the Joint International Society and Federation of Cardiology/World Health Organization Task Force on PTCA....Pages 155-159 Back Matter....Pages 197-199 Front Matter....Pages 153-153 The Changing Role of PTCA in Patients with Acute Myocardial Infarction....Pages 160-164 Thrombolytic Therapy and PTCA....Pages 165-173 Percutaneous Transluminal Coronary Angioplasty in Unstable Angina....Pages 174-175 Drug Treatment after PTCA....Pages 176-187 Discussion: Session III — Percutaneous Transluminal Coronary Angioplasty....Pages 188-196 Back Matter....Pages 197-199 Front Matter....Pages 201-201 Coronary Artery Bypass Surgery — State of the Art....Pages 203-205 Coronary Bypass Surgery After Thrombolysis and Balloon Dilatation....Pages 206-214 Back Matter....Pages 215-219 Front Matter....Pages 221-221 Long-Term Care and Surveillance of the Patient Following Coronary Angioplasty or Coronary Bypass Surgery....Pages 223-230 The Role of Exercise Testing in Assessment of Myocardial Revascularisation....Pages 231-235 Physical Exercise in Comprehensive Care....Pages 236-240 Cost-Effectiveness of Noninvasive Surveillance....Pages 241-243 Rehabilitative Care After Myocardial Revascularization....Pages 244-251 Return to Work After Coronary Artery Bypass Surgery....Pages 252-261 Rehabilitation Systems in Different Areas of the World....Pages 262-267 Back Matter....Pages 268-271 Back Matter....Pages 272-272