Document Detail


Influence of conduction disturbances on clinical outcome in patients with acute myocardial infarction receiving thrombolysis (results from the ARGAMI-2 study).
MedLine Citation:
PMID:  14697471     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Right bundle branch block and complete atrioventricular (AV) block are conduction disorders (CDs) that have been observed in 14% of patients admitted with ST-elevation acute myocardial infarction. CDs carry a poor prognosis, with a threefold increase in the mortality rate, mainly due to cardiogenic shock and recurrent fatal myocardial infarction at 1-year follow-up. According to multivariable analysis, CD was the second strongest predictor of death, after high Killip class. Compared with patients without CD, the 1-year outcome of patients with CD was identically worse, irrespective of whether CD appeared during admission, disappeared, or remained constant. Similar adverse outcomes were seen in patients with complete AV block and right bundle branch block.
Authors:
Aiden Abidov; Edo Kaluski; Hanoch Hod; Johnatan Leor; Zvi Vered; Shmuel Gottlieb; Solomon Behar; Gad Cotter;
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  93     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-30     Completed Date:  2004-01-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  76-80     Citation Subset:  AIM; IM    
Affiliation:
Cardiology Department, Assaf-Harofeh Medical Center, Zerifin, Israel.
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MeSH Terms
Descriptor/Qualifier:
Electrocardiography
Female
Heart Block / complications,  physiopathology*
Heparin / administration & dosage
Hospitalization
Humans
Intensive Care Units
Israel / epidemiology
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction / complications,  drug therapy,  mortality*,  pathology
Pipecolic Acids / administration & dosage
Prospective Studies
Randomized Controlled Trials as Topic
Severity of Illness Index
Streptokinase / administration & dosage
Survival Analysis
Thrombolytic Therapy
Chemical
Reg. No./Substance:
0/Pipecolic Acids; 74863-84-6/argatroban; 9005-49-6/Heparin; EC 3.4.-/Streptokinase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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