Author/Authors :
Kandzari، نويسنده , , David E and Chu، نويسنده , , Alan and Brodie، نويسنده , , Bruce R. and Stuckey، نويسنده , , Thomas A and Hermiller، نويسنده , , James B and Vetrovec، نويسنده , , George W and Hannan، نويسنده , , Karen L and Krucoff، نويسنده , , Mitchell W and Christenson، نويسنده , , Robert H and Gibbons، نويسنده , , Raymond J and Sigmon، نويسنده , , Kristina N and Garg، نويسنده , , M. Jyostna Devi، نويسنده ,
Abstract :
In a nonrandomized feasibility study of therapeutic hypothermia in acute myocardial infarction, 18 patients were treated with endovascular cooling (Alsius, Irvine, California) as adjunctive therapy to primary percutaneous coronary intervention to assess measures of infarct size (area under the curve creatinine kinase-MB and technetium-99m single-photon emission computed tomography sestamibi) and the quality of myocardial perfusion (continuous ST-segment monitoring). Periprocedural endovascular cooling successfully decreased core body temperature (median 33.5°C) and was well tolerated, which supports the evaluation of adjunctive hypothermia in pivotal trials to limit infarct size and decrease reperfusion injury.
