Angioplasty - TPA

The New England Journal of Medicine reports a new study comparing angioplasty with an intravenous administration of a medicine called TPA after heart attacks.

Over 1100 patients from 57 hospitals who had an attack within the previous 12 hours were assigned randomly to one of the two treatments.

The results show a small to moderate short term advantage in using angioplasty. At six months there was no significant difference in the two methods.

The authors conclude that if the patient can get prompt treatment, at an experienced center, angioplasty should be considered an excellent alternative.

I'm Medical Editor, Dr. Ted Castele, with the Medical Moment.

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