| Coronary angioplasty in patients with unstable angina: clinical, electrocardiographic and angiographic predictors of in-hospital outcome. R.OS.A.I. Study Group. | |
| | |
MedLine Citation:
|
PMID: 10994937 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: In unstable angina early coronary arteriography is frequently performed, often followed by percutaneous revascularization with liberal use of stents. We intended to study the in-hospital outcome of patients receiving this treatment. METHODS: From April 1997 to April 1998, patients submitted to coronary arteriography due to unstable angina, and with no previous myocardial revascularization, were included in a multicenter registry. RESULTS: Out of 987 patients enrolled at 14 centers, 876 (89%) had percutaneous or surgical revascularization. Coronary angioplasty was performed in 571 patients (58%); 281 (49%) had Braunwald class IIIB or C angina. Refractory or prolonged chest pain, or both, were present in 133, 217 and 85 patients, respectively, and multivessel disease in 245 patients (43%). Stenting was performed in 486/571 cases (85%), abciximab was administered to 42 patients, and ticlopidine and/or aspirin to all. A procedural success was obtained in 96.9 % of cases. In-hospital major adverse cardiac events occurred in 29/571 patients (5.1%). Pain-related ST segment depression (44% of cases) was not predictive of outcome after coronary angioplasty. In multivariate analysis prolonged plus refractory angina (p = 0.02), an ejection fraction < 0.4 (p = 0.04), multivessel disease (p = 0.01) and--with the strongest predictive value--ad hoc angioplasty (p = 0.007) and use of > 1 stent (p = 0.0008) were all independent predictors of in-hospital adverse outcome. CONCLUSIONS: Coronary angioplasty with a liberal use of stents yields a high rate of procedural success, with few in-hospital major cardiac events also in "high risk" patients. |
| | |
Authors:
|
A Dellavalle; S De Servi; S Repetto; S Chierchia; A Repetto; A Vado; G Steffenino |
Related Documents
:
|
17235447 - 'postconditioning' the human heart: multiple balloon inflations during primary angiopla... 11214697 - Surgical and percutaneous myocardial angiogenesis induction. part ii--neoangiogenesis. 3385897 - Early return to work after uncomplicated myocardial infarction. results of a randomized... 10150917 - Outcome following coronary balloon angioplasty in young adults aged 35 years or less. 16556107 - Metabolic stridor: a case report. 8756977 - New devices in interventional cardiology: present and future. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Italian heart journal : official journal of the Italian Federation of Cardiology Volume: 1 ISSN: 1129-471X ISO Abbreviation: Ital Heart J Publication Date: 2000 Aug |
Date Detail:
|
Created Date: 2000-12-18 Completed Date: 2001-01-04 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 100909716 Medline TA: Ital Heart J Country: ITALY |
Other Details:
|
Languages: eng Pagination: 555-61 Citation Subset: IM |
Affiliation:
|
Division of Cardiology, Hospital S. Croce, Cuneo, Italy. emodinamica@scroce.sanitacn.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Angina, Unstable / radiography, therapy* Angioplasty, Transluminal, Percutaneous Coronary* Coronary Angiography Electrocardiography Female Humans Male Middle Aged Stents Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Intravascular physiologic evaluation of the left anterior small thoracotomy operation: a novel appro...
Next Document: Ischemic preconditioning during coronary angioplasty is preserved in elderly patients.