A COMPARATIVE-STUDY OF CLINICAL PREDICATORS FOR CORONARY-ARTERY RECANALIZATION AFTER INTRAVENOUS THROMBOLYTIC THERAPY

Objective To assess the accuracy of clinical criteria for assessing co ronary artery recanalization after intravenous thrombolytic treatment. Methods Coronary angiography was performed to comparatively evaluate clinical parameters. One hundred patients were involved in this study. Results Clinical determinants showed a 70.6% sensitivity, 91.8% speci ficity and 81% predictive accuracy for coronary recanalization. Conclu sion This result indicates that these clinical parameters are strongly correlated to the coronary angiography and are strongly predictive fo r patency of an infarct-related vessel, Of all these parameters, the e arly peak of cardiac enzymes levels had the highest specificity. T-wav e inversion within one hour after thrombolytic therapy can be used alo ne as an earlier sign of coronary recanalization.