Document Detail


Trends in coronary thrombolytic therapy for acute myocardial infarction (the Minnesota Heart Survey Registry, 1990 to 1993).
MedLine Citation:
PMID:  8759803     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1990 and 1993, patient selection and relative effectiveness of thrombolytic agents were issues for clinical trials of thrombolytic therapy, particularly the Third International Study of Infarct Survival (ISIS-3) and the Second Gruppo Italiano per Lo Studio della Streptochinasi nell'Infarto Miocardico trials. The purpose of this report is to document the use of coronary thrombolytic therapy in community hospital practice during this period. Patients admitted to the coronary care unit of 6 hospitals with suspect acute myocardial infarction (AMI) between 1990 and 1993 were prospectively enrolled in the Minnesota Heart Survey Registry. Of the 1,225 patients with AMI enrolled, 310 men (37%) and 103 women (26%) received thrombolytic therapy (p < 0.001). The age-adjusted male-to-female odds ratio (95% confidence interval) for receiving thrombolysis among patients with < or = 12 hours since symptom onset was 1.33 (0.94, 1.87). The proportion of those treated receiving tissue plasminogen activator declined from 196 (64%) to 102 (34%) between 1990 and 1991 and 1992 and 1993. Use of streptokinase increased from 48 (16%) to 156 (52%) during the same time period. There were no statistically significant gender or lytic agent type differences in complications from thrombolytic therapy. Changes in type of agent used coincided with the release of results from the ISIS-3 trial.
Authors:
W D Rosamond; E Shahar; P G McGovern; T L Sides; R V Luepker
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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:  78     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-09-17     Completed Date:  1996-09-17     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  271-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill 27514, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Aged
Chi-Square Distribution
Female
Hospitals, Community / statistics & numerical data
Humans
Logistic Models
Male
Middle Aged
Minnesota / epidemiology
Myocardial Infarction / complications,  drug therapy*,  epidemiology
Odds Ratio
Prospective Studies
Registries* / statistics & numerical data
Sex Distribution
Thrombolytic Therapy / adverse effects,  statistics & numerical data,  trends*
Time Factors
Grant Support
ID/Acronym/Agency:
R01-HL-23727/HL/NHLBI NIH HHS

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


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