[Comparative assessment of efficacy of tissue plasminogen activator and streptokinase in the treatment of patients with acute myocardial infarction]. / Sravnitel'naia otsenka éffektivnosti tkanevogo aktivatora plazminogena i streptokinazy v lechenii bol'nykh ostrym infarktom miokarda.

AIM: To compare results of treatment of patients with acute myocardial infarction with tissue plasminogen activator (TPA) and streptokinase. MATERIAL AND METHODS: TPA (100 mg intravenously) and streptokinase (1500000 U intravenously) were used for thrombolytic therapy of acute myocardial infarction in 114 and 118 patients, respectively. RESULTS: TPA treated compared with streptokinase treated patients were characterized by less frequent serious cardiac rhythm and conduction disturbances and hypotension during thrombolysis (p<0.05), as well as less frequent pathological Q-waves formation (p<0.001). More than 50% lowering of initially elevated ST-segment by 90-th minute occurred more often in TPA treated patients (p<0.001). Differences between TPA and streptokinase treated patients in mortality (3.5 and 7.6%, respectively), reinfarction rate during first 24 hours (3.5 and 5.1%, respectively), aneurysm formation (9.1 and 14.7%, respectively), and heart failure development (4.5 and 11.0%, respectively) were not significant. CONCLUSION: The use of TPA for thrombolytic therapy of patients with acute myocardial infarction gave better results than the use of streptokinase.