Document Detail


Primary coronary angioplasty in acute myocardial infarction excluded from thrombolysis: in-hospital and mid-term results.
MedLine Citation:
PMID:  10660963     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical, in-hospital and mid-term (14 +/- 12 months), results of primary percutaneous coronary angioplasty (PTCA) were investigated in 74 consecutive patients (pts) with acute myocardial infarction excluded from thrombolysis, of whom 9 pts with cardiogenic shock. In pts without cardiogenic shock at admission, the success rate of primary PTCA was high (92.3%) and the in-hospital mortality was low (3%). There were 89.2% asymptomatic pts during the in-hospital period. During the mid-term follow-up, pts without cardiogenic shock at admission had a mortality of only 4%, 66% of them remained asymptomatic, 24% developed angina pectoris and 6% had a new myocardial infarction. In pts with cardiogenic shock at admission to the hospital, the success rate of primary PTCA was of only 55.5% and the in-hospital mortality was high, 77.7%. In conclusion, primary PTCA in acute myocardial infarction excluded from thrombolysis is particularly useful in patients without cardiogenic shock.
Authors:
D Olinic; B Desveaux; L Quillet; L Maillard; J M Paemelaere; G Pacouret; B Charbonnier; P Raynaud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Romanian journal of internal medicine = Revue roumaine de médecine interne     Volume:  36     ISSN:  1220-4749     ISO Abbreviation:  Rom J Intern Med     Publication Date:    1998 Jan-Jun
Date Detail:
Created Date:  2000-02-29     Completed Date:  2000-02-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9304507     Medline TA:  Rom J Intern Med     Country:  ROMANIA    
Other Details:
Languages:  eng     Pagination:  3-15     Citation Subset:  IM    
Affiliation:
Medical Clinic No. 1, Cluj-Napoca, Romania.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angioplasty, Transluminal, Percutaneous Coronary* / methods,  statistics & numerical data
Female
Follow-Up Studies
France / epidemiology
Hospitalization / statistics & numerical data
Humans
Male
Middle Aged
Myocardial Infarction / mortality,  therapy*
Recurrence
Thrombolytic Therapy / contraindications*
Time Factors
Treatment Outcome

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


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