Authors :
Lt Col Cecily PJ; Mamata Nayak; Neetu Kumari Ram; Dr Anugrah Thomas; Monalisha Pal
Volume/Issue :
Volume 9 - 2024, Issue 8 - August
Google Scholar :
https://rb.gy/ksqsjk
Scribd :
https://rb.gy/qwtmef
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24AUG128
Abstract :
Thrombolytic therapy is a vital component in
the treatment of acute illnesses such as myocardial
infarction, ischemic stroke, and pulmonary embolism. Its
purpose is to minimize tissue damage and restore
perfusion. With an emphasis on the use of tissue
plasminogen activator (tPA) and other drugs, the timing
of administration, and the related clinical results, this
study thoroughly analyses the therapeutic approaches to
thrombolysis. Research shows that by lowering death and
morbidity, early administration—ideally, during the first
few hours after symptom onset—significantly improves
outcomes. Treatment options have increased, especially
for patients who are not good candidates for systemic
thrombolysis, because to developments in thrombolytic
drugs and delivery systems, such as catheter-directed
thrombolysis and ultrasound-enhanced thrombolysis. It is
important to carefully choose and monitor patients
receiving thrombolytic treatment since, despite its
advantages, it has some contraindications, including the
possibility of haemorrhagic consequences. A customized
treatment plan is essential to optimize effectiveness while
avoiding side effects, as demonstrated by the outcomes of
several clinical trials. In Result it should be noted that
research is still being done to determine the best ways to
employ thrombolytic treatment to enhance patient
outcomes in acute care settings.
Keywords :
Thrombolytic Therapy, Acute Care, Tissue Plasminogen Activator, Ischemic Stroke, Acute Myocardial Infarction, Haemorrhagic Complications.
References :
- Ali, M. R., Salim Hossain, M., Islam, M. A., Saiful Islam Arman, M., Sarwar Raju, G., Dasgupta, P., & Noshin, T. F. (2014). Aspect of thrombolytic therapy: a review. TheScientificWorldJournal, 2014, 586510. https://doi.org/10.1155/2014/586510
- Lawrence, P. F., & Goodman, G. R. (1992). Thrombolytic therapy. The Surgical clinics of North America, 72(4), 899–918. https://doi.org/10.1016/s0039-6109(16)45784-1
- Zarar A, Khan AA, Adil MM, Qureshi AI. Anaphylactic shock associated with intravenous thrombolytics. Am J Emerg Med. 2014 Jan;32(1):113.e3-5.
- Takagi T, Kato T, Sakai H, Nishimura Y. Early neurologic improvement based on the National Institutes of Health Stroke Scale score predicts favourable outcome within 30 minutes after undergoing intravenous recombinant tissue plasminogen activator therapy. J Stroke Cerebrovascular Dis. 2014 Jan;23(1):69-74.
- Kaseer H, Sanghavi DK. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Aug 17, 2023. Aminocaproic Acid.
- Collen, D., & Gold, H. K. (1990). New developments in thrombolytic therapy. Advances in experimental medicine and biology, 281, 333–354.
- Hacke, W., Kaste, M., Bluhmki, E., Brozman, M., Dávalos, A., Guidetti, D., ... & Toni, D. (2008). Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. The New England Journal of Medicine, 359(13), 1317-1329.
- Wardlaw, J. M., Murray, V., Berge, E., & del Zoppo, G. J. (2014). Thrombolysis for acute ischaemic stroke. Cochrane Database of Systematic Reviews,
- Nogueira, R. G., Jadhav, A. P., Haussen, D. C., Bonafe, A., Budzik, R. F., Bhuva, P., ... & Jovin, T. G. (2018). Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. The New England Journal of Medicine, 378(1), 11-21.
Thrombolytic therapy is a vital component in
the treatment of acute illnesses such as myocardial
infarction, ischemic stroke, and pulmonary embolism. Its
purpose is to minimize tissue damage and restore
perfusion. With an emphasis on the use of tissue
plasminogen activator (tPA) and other drugs, the timing
of administration, and the related clinical results, this
study thoroughly analyses the therapeutic approaches to
thrombolysis. Research shows that by lowering death and
morbidity, early administration—ideally, during the first
few hours after symptom onset—significantly improves
outcomes. Treatment options have increased, especially
for patients who are not good candidates for systemic
thrombolysis, because to developments in thrombolytic
drugs and delivery systems, such as catheter-directed
thrombolysis and ultrasound-enhanced thrombolysis. It is
important to carefully choose and monitor patients
receiving thrombolytic treatment since, despite its
advantages, it has some contraindications, including the
possibility of haemorrhagic consequences. A customized
treatment plan is essential to optimize effectiveness while
avoiding side effects, as demonstrated by the outcomes of
several clinical trials. In Result it should be noted that
research is still being done to determine the best ways to
employ thrombolytic treatment to enhance patient
outcomes in acute care settings.
Keywords :
Thrombolytic Therapy, Acute Care, Tissue Plasminogen Activator, Ischemic Stroke, Acute Myocardial Infarction, Haemorrhagic Complications.