repeated thrombolysis in 2nd day for patient

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    • #49059

      Mark Perez

      any role for repeated thrombolysis in 2nd day for pt. who reinfarcted again?
      say pt. present with inf. STEMI receive Lytic therapy and in 2nd or 3rd day reinfarcted again with anti STEMI and there’s no PCI capable center..
      can i give Lytics again????
      any ideas

    • #49060

      Sara Smith

      Thrombolytics can be given with in 3 days again
      Between 6 days to 6montha its contraindicated

    • #49061

      Mary Gray

      Yes you can give
      – non-selective fibrinolytic agents :such as streptokinase ( antibodies) : you can give again within 5 days or after 6 months
      _ for selective fibrinolytic agents ( no antibodies) : it’s ok whatever you want

    • #49062

      Anna Lewis

      while you can give repeated doses within 5 days, you also increase the risk of bleeding -which is not a minor morbidity…that is one reason why cardiologists do not favor repeat doses

    • #49063

      Rose Parker

      Yes .
      Stk not to be given from 7 days to 1 year of first administration.
      However, search for cardiac source of embolus for mi occuring in such close proximity.

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repeated thrombolysis in 2nd day for patient
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