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Expanding the Use of Thrombolytic Therapy for Acute Myocardial Infarction

J. Ward Kennedy, MD
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Requests for Reprints: J. Ward Kennedy, MD, Division of Cardiology, RG-22, University of Washington, Seattle, WA 98195.

University of Washington
Seattle, WA 98195

Ann Intern Med. 1990;113(12):907-908. doi:10.7326/0003-4819-113-12-907
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The general impression in the United States is that thrombolytic therapy for acute myocardial infarction is underutilized. Grines and DeMaria (1), as well as others (2-4), have recently estimated that only about 10% of eligible patients with acute myocardial infarction receive thrombolytic therapy. Because thrombolytic therapy is now accepted as the best initial treatment for many patients with acute myocardial infarction, it is important to understand the reasons for its underutilization and find ways to correct the situation.

In this issue of Annals, Muller and Topol (5) review the current selection and exclusion criteria for the use of thrombolytic therapy


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