| Immediate angioplasty for acute myocardial infarction: a community hospital's experience. | |
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MedLine Citation:
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PMID: 10745482 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study describes prospective outcome data from 100 consecutive patients presenting with acute myocardial infarction and treated with immediate angioplasty in a community hospital setting. Successful angioplasty was achieved in 86% of patients with a mean reperfusion time of 77.5 minutes. Only 4 patients did not survive initial hospitalization; three of these initially presented with cardiogenic shock. The survival rate in noncardiogenic shock patients was 98.9%. Four patients underwent repeat angioplasty of the infarct-related artery and 6 patients were referred for coronary artery bypass surgery during initial hospitalization. During the 6 month follow-up, nine patients required repeat hospitalization. Seven of these patients presented with recurrent ischemia; four underwent repeat angioplasty and 3 coronary artery bypass surgery. There were no subsequent deaths or reinfarctions during the 6 month follow-up. The angioplasty success rate and clinical outcomes in this study compare favorably to previous trials performed in select interventional centers and suggest that immediate angioplasty can be the preferred reperfusion therapy in a community hospital setting. |
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Authors:
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R C Ashmore; G J Luckasen; D G Larson; W E Miller; T B Whitsitt; T R Downes; D W Cullinane |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 11 ISSN: 1042-3931 ISO Abbreviation: J Invasive Cardiol Publication Date: 1999 Feb |
Date Detail:
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Created Date: 2005-03-29 Completed Date: 2005-05-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 61-5 Citation Subset: IM |
Affiliation:
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The Heart and Vascular Clinic of Northern Colorado, 1100 E. Elizabeth Street, Fort Collins, CO 80524, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary* Coronary Angiography Coronary Artery Bypass Female Hospitals, Community* Humans Male Middle Aged Myocardial Infarction / diagnosis, surgery, therapy* Myocardial Reperfusion / methods* Outcome Assessment (Health Care)* Prospective Studies Reoperation Survival Rate Time Factors |
| Comments/Corrections | |
Comment In:
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J Invasive Cardiol. 1999 Feb;11(2):107
[PMID:
10745493
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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