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    • #49059
      Mark Perez
      Participant

      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
      Participant

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

    • #49061
      Mary Gray
      Participant

      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
      Participant

      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
      Participant

      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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