| Outcomes of primary percutaneous coronary intervention in acute myocardial infarction at Tehran Heart Center. | |
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MedLine Citation:
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PMID: 17709919 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe our experience of primary angioplasty in ST-segment elevation myocardial infarction. SUBJECTS AND METHODS: During a period of 2 years (April 2003 to May 2005), 83 high-risk patients presenting with acute ST-segment elevation myocardial infarction underwent primary angioplasty subject to availability of balloon dilation within 90 min of admission. In total, 73 stents were implanted; 69 were bare metal stents, while the remaining 4 were paclitaxel-eluting stents. Of the 83 patients, 8 presented with cardiogenic shock. Follow-up was for a period of 9 months. All angiographic, in-hospital and clinical outcomes were recorded on a database. RESULTS: The procedure was successful in 79 of the 83 patients (95%) and unsuccessful in 4 (5%). Of these 4 patients, 3 died and 1 was treated medically. In 65 patients with zero perfusion, angioplasty was successful in 61 (93.8%), while it was completely successful (100%) in the remaining 18 patients with thrombolysis in myocardial infarction grade 3 perfusion. Vessel patency was achieved in 95% with thrombolysis in myocardial infarction grade 3 flow present in 93%. A total of 7 (8.5%) patients died while in the hospital. Of the 8 with initial cardiogenic shock on presentation, 4 (50%) died in the hospital and of the remaining 4, 1 was lost at 9-month follow-up. In-hospital reocclusion and reinfarction did not occur in any patient. CONCLUSION: The results suggest that primary angioplasty is logistically feasible in our center with good clinical outcomes. |
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Authors:
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Mohammad Alidoosti; Mojtaba Salarifar; Alimohammad Hajizeinali; Seyed Ebrahim Kassaian; Davood Kasemisaleh; Hamidreza Goodarzynejad |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Medical principles and practice : international journal of the Kuwait University, Health Science Centre Volume: 16 ISSN: 1423-0151 ISO Abbreviation: Med Princ Pract Publication Date: 2007 |
Date Detail:
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Created Date: 2007-08-21 Completed Date: 2007-11-06 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 8901334 Medline TA: Med Princ Pract Country: Switzerland |
Other Details:
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Languages: eng Pagination: 333-8 Citation Subset: IM |
Copyright Information:
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2007 S. Karger AG, Basel |
Affiliation:
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Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. alidostm@sina.tums.ac.ir |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / statistics & numerical data* Comorbidity Female Hospital Mortality Humans Iran / epidemiology Male Middle Aged Myocardial Infarction / epidemiology, therapy* Outcome and Process Assessment (Health Care) Recurrence Shock, Cardiogenic / epidemiology Stroke / epidemiology Survival Analysis Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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