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- $Unique_ID{BRK00349}
- $Pretitle{}
- $Title{Use of Clot Dissolvers in Treating Heart Attack}
- $Subject{medications medication medicine circulatory clots dissolve clot
- dissolver heart attack Blood heart muscle thrombolytics thrombolytic tissue
- plasminogen activator TPA arterial blockage myocardial infarction infarctions}
- $Volume{G-3, R-7}
- $Log{
- Myocardial Infarction*0005400.tid
- The Heart's Blood Supply*0008901.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Use of Clot Dissolvers in Treating Heart Attack
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- QUESTION: Is there such a thing as a "clot dissolver"? Would it be a good
- medicine to use if the patient was supposed to be having a heart attack? Is
- it very expensive?
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-
- ANSWER: Your questions almost tell me the story, which you didn't include in
- your letter, but I am happy to provide this information to you. Yes, there
- are such medications, used, in your case I imagine, in the early hours
- following a heart attack. Technically a heart attack occurs when one or more
- arteries which feed blood to the heart become blocked by a blood clot. The
- blood can no longer reach the heart muscle, and the cells die from lack of
- oxygen and nutrition. It is this dying process which provokes the pain of the
- heart attack. Using medications called "thrombolytics" or clot dissolvers,
- physicians attempt to break down that blockage and restore the flow of blood
- to the heart muscle. The sooner the medication is administered after the
- blockage, the less chance there is of damage to the heart muscle, and the size
- of the damaged area my be reduced. This is a relatively new method of
- treating new heart attacks and the rules are changing as time goes on.
- Although originally used only in the first few hours after the attack, the
- time limit is growing longer and longer as we find that patients may benefit
- from the medication as late as 6 to 8 hours later. And yes, it may be very
- expensive. The latest development in this area is a medication called a
- tissue plasminogen activator (TPA) which can effectively dissolve clots, but
- may cost as more than $2,000 for a single injection.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-