Document Detail


The natural history of single-vessel chronic coronary occlusion: a 25-year experience.
MedLine Citation:
PMID:  9124159     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the natural history of patients with a total occlusion of a single coronary artery, we searched the Duke Databank for Cardiovascular Disease to find all patients who underwent a first coronary angiogram >2 days after a symptomatic myocardial infarction between 1969 and 1994. Patients who underwent angiography >30 days after the acute event had a low risk of death in the first year (3%), and a proximal left anterior descending coronary occlusion did not confer substantially higher risk of death (4%). Patients undergoing angiography <30 days after the acute event had a higher mortality (5%), especially those with proximal left anterior descending occlusion (10%). The time from the acute event to angiography was a predictor of death (p = 0.04). Despite low 1-year mortality rates, patients with total occlusion of an isolated coronary vessel treated medically had substantial mortality, myocardial infarction, and revascularization rates over a long-term follow-up period.
Authors:
J A Puma; M H Sketch; J E Tcheng; L H Gardner; C L Nelson; H R Phillips; R S Stack; R M Califf
Related Documents :
6579939 - Life events and myocardial infarction.
10232689 - The low molecular weight apo(a) phenotype is an independent predictor for coronary arte...
23884089 - Preoperative left ventricular function in degenerative mitral valve disease.
8458349 - Prediction of mortality following hospital discharge after thrombolysis for acute myoca...
6975189 - Prognosis of 1000 young women studied by coronary angiography.
9105819 - Morbidity and mortality in 200 consecutive coronary reoperations.
2521419 - The clinical efficacy and scintigraphic evaluation of post-coronary bypass patients und...
1293119 - Obstructive enterolith in an 11-month-old miniature horse.
8466239 - Cardiac rhabdomyomas and their association with tuberous sclerosis.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  133     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-04-21     Completed Date:  1997-04-21     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  393-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Angioplasty, Transluminal, Percutaneous Coronary
Cohort Studies
Coronary Angiography
Coronary Artery Bypass
Coronary Disease / mortality*,  radiography,  therapy
Female
Follow-Up Studies
Heart Catheterization
Humans
Male
Middle Aged
Myocardial Infarction / mortality,  radiography,  therapy
Proportional Hazards Models
Risk Factors
Survival Rate
Time Factors

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


Previous Document:  Postangioplasty restenosis: platelet activation and the coagulation-fibrinolysis system as possible ...
Next Document:  Improved Doppler echocardiographic assessment of the left atrial appendage by peripheral vein inject...