Total absence of ST-segment resolution after failed thrombolysis is correlated with unfavorable short- and long-term outcomes despite successful rescue angioplasty

Successful Medical Management of a Left Ventricular Thrombus and Aneurysm following Failed Thrombolysis in Myocardial Infarction

“…An incomplete (,50%) STR is a recognized marker of failed thrombolysis and is a suitable recruitment criterion for rescue angioplasty. 18 The current management options for failed thrombolysis are repeat thrombolysis, rescue angioplasty, stenting, and the use of glycoprotein IIb/IIIa inhibitors. [19][20][21] Older trials have shown that rescue angioplasty was not better than conservative management in terms of subsequent death.…”

The usefulness of fQRS and QRS distortion for predicting reperfusion success and infarct-related artery patency in patients who underwent thrombolytic therapy

“…However, there is no consensus with respect to patients with TIMI 2 flow after reperfusion therapy [30]. In several studies, TIMI 2 flow was considered as complete restoration of the epicardial blood flow after recanalization of IRA, and in the results of these studies, TIMI flow grades 2 and 3 were grouped together [11,31]. It has been suggested that among patients with complete STR, the probability of TIMI grade 3 flow is only 70-80% (vs. ∼ 95% of TIMI grade 2-3 flow).…”