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Should We Intervene Following Thrombolysis trial. A clinical trial comparing delayed elective intervention and conservative strategies after tPA/antistreplase thrombolysis in patients with acute MI
Conclusion Early routine intervention has no advantage over conservative management after tPA in patients with acute MI


Cardiology A clinical trial–Should We Intervene Following Thrombolysis–comparing delayed elective intervention and conservative strategies after tPA/antistreplase thrombolysis in Pts with acute MI. See Acute myocardial infarction, Coronary angioplasty, tPA.

Patient discussion about SWIFT

Q. every alternate day i go through a swift mood change from a very high depression. I am facing some problem and I need help. Every alternate day I go through a swift mood change from a very high depression on one day to a high happiness on the other day. It remains constant for couple of days and then again my mood swings either to a high depression or to a good level happiness. When in happy mood I feel on top. When I feel very depressed I start harming myself and it goes to the extent to bang my head on the wall. Many times I will cry so much that the very next day my eyes burns with irritation and pain. Is all this normal? I think I am getting bipolar.

A. I would suggest going to your doctor and asking to speak to someone. Perhaps start with a theropist so you will have someone to talk to and can teach you to manage your stress. If you are experiencing bipolar episodes the theropist may be able to recognize the symptoms and suggest you see a psychiatrist as well. Try not to self diagnose yourself, tell your doctor that you have been having some hard times and would like someone to talk to and go from there. I wish you well.

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References in periodicals archive ?
Admittedly, the existing research is contradictory, and support for the swiftness principle is lukewarm at best.
Today, pulp and paper company assets are traded with the swiftness and ruthlessness of a game of Texas Hold'em, all done for the sake of maximizing return.
What set Genghis Khan apart were the stunning swiftness of his horseback riders and the brilliance of his tactics.
Though the matter seems small in retrospect--a simple administrative error--real estate lawyers say the swiftness with which the IRS made its decision means that it will not let bureaucracy rule the process.
That's because classic criminological theory says there are three related factors involved in deterrence: the certainty, swiftness and severity of punishment.
The latter he deployed iconically in title pages, printer's marks, and decorated initials using such motifs as the dolphin, which symbolized Venetian swiftness at sea, and the anchor, symbolizing Venice's maritime stability; and he deployed similar motifs textually in mottoes and dedications.
Judged purely by the apparent swiftness and ease of his brushwork, one might mistake these works for studies.
Allied forces were stunned by the swiftness of the attack, in particular the sophistication of the delivery systems.
But the swiftness of the four-year-old's recovery has prompted a change of plan from trainer Francois Doumen, whose son Thierry will take the ride.
Of course, the swiftness of the campaign may have had something to do with the dearth of letters, too.
Reinsurance was breaking through national boundaries with a swiftness that mirrored the increasing mobility of people and goods at the time.