| Transferring patients for primary angioplasty: a retrospective analysis of 104 selected high risk patients with acute myocardial infarction. | |
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MedLine Citation:
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PMID: 9404245 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the feasibility of primary coronary angioplasty as a treatment option in patients with acute myocardial infarction after initial diagnosis in a local community hospital. SETTING: Referral centre for interventional treatment of coronary artery disease. METHODS: During a five year period, 520 candidates for primary coronary angioplasty were treated in our institution, 104 after transfer from a community hospital. The transferred patients and the non-transferred patients (n = 416) were compared with regard to baseline clinical characteristics, time interval from symptom onset to treatment, and clinical outcome at six months. RESULTS: In this setting, the influence of transportation on total ischaemic time was limited, and there was no difference in clinical outcome between the transferred and the non-transferred patients. Clinical outcome was mainly dependent on the indication for transfer. CONCLUSIONS: Safe and expedient transportation may facilitate the more widespread use of primary angioplasty in patients with acute myocardial infarction. A large randomised multicentre trial is needed to compare the relative merits of intravenous thrombolytic treatment in a local hospital with primary angioplasty after transfer in selected high risk patients with acute myocardial infarction. |
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Authors:
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F Zijlstra; A W van 't Hof; A L Liem; J C Hoorntje; H Suryapranata; M J de Boer |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Heart (British Cardiac Society) Volume: 78 ISSN: 1355-6037 ISO Abbreviation: Heart Publication Date: 1997 Oct |
Date Detail:
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Created Date: 1997-12-30 Completed Date: 1997-12-30 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 9602087 Medline TA: Heart Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 333-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiology, Hospital De Weezenlanden, Zwolle, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary* Feasibility Studies Female Humans Male Middle Aged Myocardial Infarction / therapy* Patient Selection* Patient Transfer* Retrospective Studies Risk Factors Time Factors Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Heart. 1997 Oct;78(4):329-30
[PMID:
9404243
]
Heart. 1997 Oct;78(4):327-8 [PMID: 9404242 ] Heart. 1997 Oct;78(4):325-6 [PMID: 9404241 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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