| Clinical features and outcome of emergency percutaneous intervention of left main coronary artery occlusion in acute myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 18043840 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: Acute myocardial infarction (AMI) due to left main coronary artery (LMCA) occlusion carries a grave prognosis. Large series reporting on the outcome of emergency revascularisation (percutaneous or surgical) of acute LMCA occlusion have been scarce. We seek to identify, in our local population, the clinical presentation and outcome of this group of patients. METHODS: From January 2000 to December 2005, a total of 1,539 patients underwent primary percutaneous coronary angioplasty for AMI in our institution. 11 patients (0.8 percent) underwent percutaneous intervention to the LMCA. These patients became the subjects of our study. Data on demography, clinical features and outcome was collected from all in-hospital and clinical notes. One sub-investigator, who was blinded to the study outcome, assessed the angiographical features. RESULTS: The overall inpatient mortality was 82 percent (9 out of 11). Nine out of 11 patients presented with cardiogenic shock. All patients presented with shock died during the hospital stay. All patients required intra-aortic balloon counter pulsation insertion. Of the two patients who survived till discharge, one had angioplasty followed by bypass surgery. The remaining one had angioplasty and stenting to the left main artery. Both survivors have been doing well without further major adverse cardiac event after an average of 64 months of follow-up. CONCLUSION: Percutaneous revascularisation of acute LMCA occlusion is feasible and the best outcome is seen in stable patients. Prognosis is still poor in patients with unfavourable clinical features. |
| | |
Authors:
|
H C Tang; A Wong; P Wong; T S J Chua; T H Koh; S T Lim |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Singapore medical journal Volume: 48 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 2007 Dec |
Date Detail:
|
Created Date: 2007-11-28 Completed Date: 2008-01-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: Singapore |
Other Details:
|
Languages: eng Pagination: 1122-4 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, National Heart Centre, Mistri Wing, 17 Third Hospital Avenue, Singapore 168752. tang_hak_chiaw@nhc.com.sg |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adult Aged Angioplasty, Transluminal, Percutaneous Coronary / methods*, mortality Cohort Studies Coronary Angiography Coronary Stenosis / mortality*, radiography, therapy* Emergency Treatment Female Follow-Up Studies Humans Male Middle Aged Myocardial Infarction / mortality*, radiography, therapy* Retrospective Studies Risk Factors Severity of Illness Index Singapore Stents Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Inadequate dietary calcium intake in elderly patients with hip fractures.
Next Document: Clinical usefulness of per-rectal portal scintigraphy by Tc-99m pertechnetate in evaluation of the s...