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Thrombolytic drugs for heart attack

Myocardial infarction - thrombolytic; MI - thrombolytic; ST - elevation myocardial infarction; CAD - thrombolytic; Coronary artery disease - thrombolytic; STEMI - thrombolytic

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Small blood vessels called coronary arteries supply blood and oxygen to the heart.

Some people may be given drugs to break up the clot if the artery is completely blocked.

The main risk when receiving clot-busting drugs is bleeding, especially bleeding in the brain.

Thrombolytic therapy is not safe for people who have:

Other treatments to open blocked or narrowed vessels that may be done in place of or along with thrombolytic therapy include:

References

American College of Emergency Physicians; Society for Cardiovascular Angiography and Interventions, O'Gara PT, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol. 2013;61:e78-e140. PMID: 23256913 www.ncbi.nlm.nih.gov/pubmed/23256913.

Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol. 2014;64:e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718.

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Review Date: 4/16/2017  

Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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