The aim of thrombolytic therapy for acute myocardial infarction with plasminogen activators such as streptokinase is to lyse the coronary thrombus and reestablish blood flow as quickly as possible so that heart tissue loss is minimized and mortality rates are improved. Streptokinase has been encapsulated in large unilamellar phospholipid vesicles and tested in an animal model of acute myocardial infarction. The time required to restore vessel patency has been reduced more than 50% when compared with findings for free streptokinase. The total dosage of streptokinase required was lower, and smaller remnant thrombi were observed with the encapsulated agent. Results from this initial unoptimized study may have significant implications for further reduction in mortality from heart attacks by therapy with plasminogen activators.

译文

:使用纤溶酶原激活剂(例如链激酶)对急性心肌梗塞进行溶栓治疗的目的是裂解冠状动脉血栓并尽快恢复血流,从而最大程度地减少心脏组织损失并提高死亡率。链激酶已封装在大的单层磷脂囊泡中,并在急性心肌梗塞的动物模型中进行了测试。与游离链激酶的发现相比,恢复血管通畅所需的时间减少了50%以上。所需要的链激酶的总剂量较低,并且用包囊剂观察到较小的残留血栓。最初未经优化的研究结果可能对通过使用纤溶酶原激活剂治疗进一步降低心脏病发作的死亡率具有重要意义。

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