Document Detail

Revascularization among patients with acute myocardial infarction complicated by cardiogenic shock and impact of American College of Cardiology/American Heart Association guidelines.
MedLine Citation:
PMID:  15541246     Owner:  NLM     Status:  MEDLINE    
Using New York City hospital discharge data from 1995 to 2002, we examined revascularization use among patients who had acute myocardial infarction complicated by cardiogenic shock before and after publication of recommendations by the American College of Cardiology/American Heart Association (ACC/AHA). The modest increase in these procedures from 1995 to 1999 and from 2000 to 2002 most likely reflected a trend, not a response, to the ACC/AHA recommendation. Moreover, the increase appeared to have been due to more frequent admission of eligible patients to hospitals capable of the service, as opposed to increasing revascularization rates in hospitals capable of revascularization.
Jing Fang; Michael H Alderman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  94     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-15     Completed Date:  2004-12-16     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:  1281-5     Citation Subset:  AIM; IM    
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York 10461, USA. <>
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / utilization
Coronary Artery Bypass / utilization
Guideline Adherence
Logistic Models
Myocardial Infarction / complications,  therapy*
Myocardial Revascularization / utilization*
Patient Admission / statistics & numerical data*
Practice Guidelines as Topic
Shock, Cardiogenic / etiology*
Grant Support
HS11612-01A1/HS/AHRQ HHS

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