| Establishing primary angioplasty as the preferred treatment for acute myocardial infarction. | |
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MedLine Citation:
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PMID: 12201968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To report procedural results and mortality rates from the first 4 years after establishing primary angioplasty as the preferred treatment for acute myocardial infarction in a single Scandinavian centre. DESIGN AND RESULTS: From August 1995 to October 1999 all patients with the diagnosis of suspected acute myocardial infarction (n = 529, mean age 62 +/- 13 years, 72% men), either transferred (73%) or directly admitted to our institution for coronary angiography with the intention of performing primary percutaneous coronary intervention (primary PCI), were prospectively registered. Procedural success in terms of residual stenosis < or = 30% and a final Thrombolysis in Myocardial Infarction (TIMI) 3 flow was achieved in 94 and 85% of patients treated, respectively. In-hospital delay and procedure times decreased significantly during the 4-year study period. A low in-hospital mortality was observed in each of the 4 years studied (8.7, 8.7, 7.7 and 6.0%). CONCLUSION: In a centre with both directly admitted and transferred patients primary angioplasty can be established as the preferred treatment for acute myocardial infarction with an initially low complication and mortality rate. During the first years after implementing the primary angioplasty programme a learning effect can be anticipated with reductions in procedural times. |
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Authors:
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Anne Kaltoft; Morten Bøttcher; Lars Krusell; Leif Thuesen; Steen Dalby Kristensen; Henning Rud Andersen; Torsten Toftegaard Nielsen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Scandinavian cardiovascular journal : SCJ Volume: 36 ISSN: 1401-7431 ISO Abbreviation: Scand. Cardiovasc. J. Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-08-30 Completed Date: 2003-01-31 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9708377 Medline TA: Scand Cardiovasc J Country: Norway |
Other Details:
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Languages: eng Pagination: 215-20 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Skejby Hospital, Aarhus University Hospital, Denmark. akk@nucmed.auh.dk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease
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mortality,
therapy Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / statistics & numerical data*, utilization* Arrhythmias, Cardiac / complications Cause of Death Coronary Angiography Coronary Stenosis / complications, mortality, therapy Denmark / epidemiology Female Hospital Mortality Humans Male Middle Aged Myocardial Infarction / complications, mortality*, therapy* Patient Transfer / statistics & numerical data Thrombolytic Therapy Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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