Southern
Regional Medical Center participated in a clinical trial
that led to recent approval of a revolutionary new
"clot-busting" medication, or thrombolytic,
called TNKase.
Ronald
Freireich MD, a cardiologist at Southern Regional and
Southern Heart Specialists, enrolled heart attack
patients in ASSENT 2 (Assessment of the Safety and
Efficacy of New Thrombolytic agent), a large,
international study that contributed important data about
TNKase. The entire study included approximately 17,000
patients from 29 countries. Southern Regional was the
only hospital in the metro Atlanta area to take part in
this trial.
The trial
compared TNKase with Activase (Alteplase, recombinant),
commonly known as "t-PA," a widely-used
medication that has been given to more than one million
heart attack patients over the last decade, and is the
most widely-used thrombolytic for heart attack.
"This
trial proves TNKase superior in `clot-busting' without a
significant increase in complications such as bleeding
and stroke," said Dr. Freireich.
Several
large, worldwide studies have determined that lifesaving
heart attack therapies are most beneficial to patients
when initiated early in the course of a heart attack.
While "clot-buster" agents have revolutionized
the treatment of heart attack since their introduction in
the late 1980s, many older agents do not allow for fast
administration, requiring multiple injections or lengthy
infusion through IV tubes. TNKase is the first
"clot-buster" administered over five seconds in
a single dose.
A heart
attack is caused when a blood clot obstructs a coronary
artery supplying blood to the heart. This causes an
inadequate flow of oxygenated and nutrient-enriched blood
and results in the death of a portion of the heart
muscle.
Heart
attacks strike more than 1.1 million people in the United
States and cause nearly 500,000 deaths each year. More
than 250,000 people die from heart attacks within one
hour of the onset of symptoms and before ever reaching a
hospital.
This is why
it is important to recognize and respond to the symptoms
of a heart attack, which may include uncomfortable
pressure, fullness, squeezing or pain in the center of
the chest that last for more than a few minutes; pain
spreading to the shoulders, neck and arms; and chest
discomfort with lightheadedness, fainting, sweating,
nausea or shortness of breath.
More
important than treating heart attacks, says Dr.
Freireich, is to prevent them from occurring.
"Scheduling
regular checkups with your doctor, understanding what
your cholesterol and blood pressure is so it can be
treated if necessary, not smoking, cutting down on salt,
and staying active are things everyone can do, not only
to avoid heart attack, but to stay healthy in
general," he added.






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