Document Detail


Usefulness of coronary angioplasty in asymptomatic patients.
MedLine Citation:
PMID:  2294679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of 6,545 patients who had elective coronary angioplasty procedures performed over a 7.5-year period from June 1980 through December 1987, 114 (1.7%) never had symptoms of myocardial ischemia. Exercise-induced silent myocardial ischemia was documented before angioplasty in 94% of these asymptomatic patients. Angioplasty was successful in 87%, whereas emergency coronary artery bypass grafting was required in 4%, and a further 2% had myocardial infarctions after the procedures. The remaining 7% had unsuccessful angioplasty procedures but experienced no in-hospital cardiac events. The follow-up period after hospital discharge averaged 43 +/- 20 months (range 5 to 93). There were no deaths. In the group of 99 patients with initially successful angioplasty procedures the follow-up interval ranged from 5 to 92 months. During that period, 7 patients underwent coronary bypass surgery, 4 patients had myocardial infarction and 30 patients had repeat angioplasty procedures for restenosis. The cumulative probability of event-free survival over 5 years for the group with successful angioplasty was: 100% freedom from death, 95% freedom from myocardial infarction, 87% freedom from myocardial infarction or coronary bypass surgery and 61% freedom from myocardial infarction, coronary bypass surgery or repeat angioplasty. Thus, coronary angioplasty performed in 114 asymptomatic patients, most with exercise-induced silent myocardial ischemia, achieved very good primary success and was accompanied by low cardiac event rates and no deaths over several years of patient follow-up.
Authors:
H V Anderson; J D Talley; A J Black; G S Roubin; J S Douglas; S B King
Related Documents :
8914779 - Abrupt (< 1 day), acute (< 1 week), and early (< 1 month) vessel closure at the angiopl...
9657469 - Randomized comparison of coronary stenting with balloon angioplasty in selected patient...
7614539 - Acute myocardial infarction during coronary angioplasty associated with heparin-induced...
1618209 - A prospective study on percutaneous coronary angioscopy with different guiding techniqu...
12074279 - Balloon coronary angioplasty and long-term survival of non-diabetic patients with isola...
11926709 - A cost-effectiveness evaluation of amlodipine usage in patients with coronary artery di...
17569679 - The potential to improve primary prevention in the future by using bnp/n-bnp as an indi...
15992629 - Sustained benefit 20 years after reperfusion therapy in acute myocardial infarction.
10459429 - Early complications. respiratory failure.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  65     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-01-26     Completed Date:  1990-01-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  35-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Artery Bypass
Coronary Disease / mortality,  therapy*
Exercise Test
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction / epidemiology
Survival Rate
Time Factors
Comments/Corrections
Comment In:
Am J Cardiol. 1990 Jan 1;65(1):114-5   [PMID:  2294676 ]

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


Previous Document:  Detection of restenosis after elective percutaneous transluminal coronary angioplasty using the exer...
Next Document:  Effect of basic drive cycle length on the yield of ventricular tachycardia during programmed ventric...