ST-segment Elevation Myocardial Infarction Thrombolytic Failure STEMI Streptokinase Predictive score Thrombolysis Treatment Failure
Conditions
Interventions
Patients diagnosed with ST segment Elevation Myocardial Infarction who presented within twelve hours of symptom onset and were treated with a full dose of intravenous Streptokinase at Sisaket Hospit
Diagnostic
STEMI patients receiving Streptokinase.
Sponsors
Sisaket hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Patients diagnosed with ST-Segment Elevation Myocardial Infarction (STEMI) 2.Patients presenting with chest pain at the hospital within 12 hours of symptom onset 3.Patients with indications for and who received a full dose of 1.5 million units of Streptokinase (SK) intravenously at community hospitals in Sisaket province or at Sisaket Hospital 4.Patients referred to Sisaket Hospital for Coronary Angiography 5.Patients with complete medical records and data
Exclusion criteria
Exclusion criteria: 1.Patients with a history of Coronary Artery Bypass Grafting (Previous CABG) due to the complexity of collateral or graft flow affecting standard assessment 2.Patients with Left Bundle Branch Block (LBBB) on electrocardiogram due to limitations in ST-segment interpretation 3.Patients who declined or refused to undergo Coronary Angiography
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Thrombolysis failure in STEMI patients Within 90 minutes after Streptokinase administration and during Coronary Angiography (CAG) Clinical assessment (ST-segment resolution less than 50%) and CAG results (TIMI flow grade less than 3 in the culprit artery) | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactJindaporn Chaiyakhot
Sisaket hospital
Outcome results
None listed