Clinical and Applied Thrombosis/Hemostasis (Aug 2024)

Prognosis in Patients with ST-Segment Elevation Myocardial Infarction Reperfused by PHDP: 1-Year MACEs Follow-Up

  • Jie Dou MS,
  • Jie Gao MS,
  • Hui-Hui Yang MS,
  • Ruoling Guo MS,
  • Chao Jiang MM,
  • Jiang Zhou MD,
  • Xiaomei Yu MS,
  • Jingtao Guo MD,
  • Jinlong Zhang MD,
  • Donglei Luo MD

DOI
https://doi.org/10.1177/10760296241271394
Journal volume & issue
Vol. 30

Abstract

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This study explored 1-year follow-up of Parmaco-invasive strategy with half-dose recombinant human prourokinase (PHDP) in patients with acute ST-segment elevation myocardial infarction (STEMI). The follow-up endpoints were major adverse cardiovascular events (MACEs) occurring within 30 days and 1 year, as well as postoperative bleeding events. The study ultimately included 150 subjects, with 75 in the primary percutaneous coronary intervention (PPCI) group and 75 in the PHDP group. This study found that the PHDP group had a shorter FMC-reperfusion time (42.00 min vs 96.00 min, P 0.05). The PHDP facilitates early treatment of infarct-related vessels, shortens FMC-reperfusion time, and does not increase the risk of MACEs.