Combination reperfusion therapy with abciximab and reduced dose reteplase: results from TIMI 14. The Thrombolysis in Myocardial Infarction (TIMI) 14 Investigators.

Abstract:

:Aims Abciximab has previously been shown to enhance thrombolysis and improve myocardial perfusion when combined with reduced doses of alteplase. The purpose of the reteplase phase of TIMI 14 was to evaluate the effects of abciximab when used in combination with a reduced dose of reteplase for ST-elevation myocardial infarction. Methods and Results Patients (n=299) with ST-elevation myocardial infarction were treated with aspirin and randomized to a control arm with standard dose reteplase (10+10 U given 30 min apart) or abciximab (bolus of 0.25 mg. kg(-1)and 12-h infusion of 0.125 microg. kg(-1). min(-1)) in combination with reduced doses of reteplase (5+5 U or 10+5 U). Control patients received standard weight-adjusted heparin (bolus of 70 U. kg(-1); infusion of 15 U. kg(-1). h(-1)), while each of the combination arms with abciximab and reduced dose reteplase received either low dose heparin (bolus of 60 U. kg(-1); infusion of 7 U. kg(-1). h(-1)) or very low dose heparin (bolus of 30 U. kg(-1); infusion of 4 U. kg(-1). h(-1)). The rate of TIMI 3 flow at 90 min was 70% for patients treated with 10+10 U of reteplase alone (n=87), 73% for those treated with 5+5 U of reteplase with abciximab (n=88), and 77% for those treated with 10+5 U of reteplase with abciximab (n=75). Complete (>/=70%) ST resolution at 90 min was seen in 56% of patients receiving a reduced dose of reteplase in combination with abciximab compared with 48% of patients receiving reteplase alone. Conclusions Reduced doses of reteplase when administered in combination with abciximab were associated with higher TIMI 3 flow rates than reported previously for reduced doses of reteplase without abciximab and were at least as high as for full dose reteplase alone

journal_name

Eur Heart J

journal_title

European heart journal

authors

Antman EM,Gibson CM,de Lemos JA,Giugliano RP,McCabe CH,Coussement P,Menown I,Nienaber CA,Rehders TC,Frey MJ,Van der Wieken R,Andresen D,Scherer J,Anderson K,Van de Werf F,Braunwald E

doi

10.1053/euhj.2000.2243

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

1944-53

issue

23

eissn

0195-668X

issn

1522-9645

pii

S0195668X00922437

journal_volume

21

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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    更新日期:2012-04-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2011-02-01 00:00:00

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    更新日期:2011-07-01 00:00:00

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    更新日期:1989-11-01 00:00:00

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    更新日期:2020-10-21 00:00:00

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    pub_type: 杂志文章,多中心研究

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  • Preliminary characterization of molecules that increase cell free translational activity of cardiac cytoplasmic RNA.

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    pub_type: 杂志文章

    doi:10.1093/eurheartj/5.suppl_f.225

    authors: Hammond GL,Lai YK,Markert CL

    更新日期:1984-12-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:10.1093/eurheartj/ehr141

    authors: Gaglia MA Jr,Waksman R

    更新日期:2011-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a062305

    authors: Michel PL,Houdart E,Ghanem G,Badaoui G,Hage A,Acar J

    更新日期:1987-05-01 00:00:00

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    更新日期:1997-04-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2009-07-01 00:00:00

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    pub_type: 杂志文章

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    authors: Kistler PM,Sanders P,Dodic M,Spence SJ,Samuel CS,Zhao C,Charles JA,Edwards GA,Kalman JM

    更新日期:2006-12-01 00:00:00

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    abstract::Contradictory two-dimensional echocardiographic findings have been reported in relation to the role of prolapse of the mitral valve and lack of systolic leaflet coaptation in mitral regurgitation secondary to coronary heart disease. A prospective study of 22 patients with chronic coronary heart disease and mitral regu...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061521

    authors: Ballester M,Tasca R,Marin L,Rees S,Rickards A,McDonald L

    更新日期:1983-08-01 00:00:00

  • Attenuation of nitrate effect during an intermittent treatment regimen and the time course of nitrate tolerance.

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    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/eurheartj/12.12.1266

    authors: James MA,Papouchado M,Jones JV

    更新日期:1991-12-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/eurheartj/ehr460

    authors: Peña JM,MacFadyen J,Glynn RJ,Ridker PM

    更新日期:2012-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061719

    authors: van Mechelen R,Segers A,Hagemeijer F

    更新日期:1984-08-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:10.1093/eurheartj/eht110

    authors: Shuvy M,Atar D,Gabriel Steg P,Halvorsen S,Jolly S,Yusuf S,Lotan C

    更新日期:2013-06-01 00:00:00

  • Return to work after percutaneous transluminal coronary angioplasty: a continuing problem.

    abstract::Earlier studies have shown that return to work following PTCA is frequent; however PTCA is now performed in patients with more extensive coronary artery disease. The present study was designed to compare the vocational outcome of patients who underwent PTCA in 1980-1982 with that of patients who underwent the procedur...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/10.suppl_g.54

    authors: Danchin N,Juilliere Y,Selton-Suty C,Vaillant G,Pernot C,Gilgenkrantz JM,Villemot JP,Mathieu P,Cherrier F

    更新日期:1989-12-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/10.suppl_d.42

    authors: Chiddo A,Locuratolo N,Gaglione A,Bortone A,Troito G,Musci S,Grimaldi N,Rizzon P

    更新日期:1989-09-01 00:00:00

  • The arterial baroreflex and the cardiopulmonary reflex in borderline hypertension.

    abstract::An elevation of the cardiopulmonary baroreflex control of the forearm vascular resistances due to an impairment of the arterial baroreflex has been postulated in borderline hypertension. The purpose of the study is to verify this hypothesis. The arterial baroreflex sensitivity, measured by the phenylephrine method is ...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/4.suppl_g.41

    authors: Bovy P,Juchmes J,Fossion A

    更新日期:1983-11-01 00:00:00

  • Early detection of pulmonary vascular disease in pulmonary arterial hypertension: time to move forward.

    abstract::Pulmonary arterial hypertension (PAH) can be a rapidly progressive disorder and is associated with high rate of mortality, despite medical intervention. With the availability of effective therapy, early disease detection is an important strategic objective to improve treatment outcomes. Resting echocardiography is cur...

    journal_title:European heart journal

    pub_type: 杂志文章,评审

    doi:10.1093/eurheartj/ehr160

    authors: Lau EM,Manes A,Celermajer DS,Galiè N

    更新日期:2011-10-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:10.1093/eurheartj/16.suppl_k.4

    authors: Cosentino F,Lüscher TF

    更新日期:1995-11-01 00:00:00

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    更新日期:1992-07-01 00:00:00

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    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/eurheartj/ehx437

    authors: D'Ascenzo F,Iannaccone M,Saint-Hilary G,Bertaina M,Schulz-Schüpke S,Wahn Lee C,Chieffo A,Helft G,Gili S,Barbero U,Biondi Zoccai G,Moretti C,Ugo F,D'Amico M,Garbo R,Stone G,Rettegno S,Omedè P,Conrotto F,Templin C,C

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehz727

    authors: Rimbert A,Dalila N,Wolters JC,Huijkman N,Smit M,Kloosterhuis N,Riemsma M,van der Veen Y,Singla A,van Dijk F,Biobank-Based Integrative Omics Studies Consortium.,Frikke-Schmidt R,Burstein E,Tybjærg-Hansen A,van de Sluis B,Kui

    更新日期:2020-03-01 00:00:00