What of those who can’t have Primary Angioplasty for any reason? In such cases, special clot dissolving enzymes called ‘streptokinase’, ‘urokinase’ or TPA are given intravenously. These enzymes help dissolve the clots, but unfortunately they are effective in only 70% of cases and much less if given later.
Once the ideal treatment is begun the patient is relatively safe. Optimal treatment also lessens the chances of complications like heart failure or a repeat heart attack or rhythm defects like arrhythmia. And should they occur, the cardiologist with the ICCU staff can easily handle it.
After being stabilized the patient may be shifted out of the ICCU and may be discharged within a few days depending on his condition. If Primary Angioplasty has not been done the patient may need angiography.