Abstract
In patients who have experienced acute myocardial infarction (MI), primary percutaneous coronary intervention (PCI) has been shown to be of benefit in terms of clinical outcomes. However, the value of performing routine PCI in patients with early MI (ie, an MI occurring > 12 h to < or = 7 days before patient presentation) or recent MI (ie, an MI occurring > or = 8 days to < 30 days before patient presentation) has not been established. The purposes of this prospective observational study were to evaluate the impact of PCI on outcomes, and to delineate the predictors of lack of response to reperfusion and the prognostic determinants in patients with this clinical condition. A total of 377 consecutive unselected patients who had experienced early or recent MI underwent PCI. Successful reperfusion (ie, Thrombolysis in Myocardial Infarction flow grade 3 of the infarct-related artery [IRA]) was achieved in 90.2% of patients. By multiple stepwise logistic regression analysis, high-burden thrombus formation (odds ratio [OR], 15.53; 95% confidence interval [CI], 6.09 to 39.60; p < 0.0001) in the IRA, early PCI (ie, < or = 3 days) [OR, 4.10; 95% CI, 1.79 to 7.36; p = 0.0008], advanced congestive heart failure (CHF) [OR, 4.10; 95% CI, 1....Continue Reading
References
Mar 1, 1992·Journal of the American College of Cardiology·S G EllisE J Topol
Dec 1, 1995·The American Journal of Cardiology·G R McKendallD O Williams
Nov 25, 1993·The New England Journal of Medicine·UNKNOWN GUSTO Angiographic Investigators
Mar 18, 1997·Circulation·R KornowskiM B Leon
Jul 1, 1997·The American Journal of Cardiology·C M GibsonE Braunwald
Sep 4, 1998·Circulation·S J BrenerE J Topol
Apr 6, 1999·The American Journal of Cardiology·Y NakagawaM Nobuyoshi
Mar 11, 2000·Lancet·S E CapesH C Gerstein
May 16, 2000·Circulation·R MarfellaD Giugliano
Aug 26, 2000·Journal of Diabetes and Its Complications·J Y HokamaP F McDonagh
Apr 3, 2001·Circulation·C R GibbsG Y Lip
May 18, 2001·The American Journal of Cardiology·H K YipM Fu
Jun 13, 2001·Journal of the American College of Cardiology·A MoustaphaH V Anderson
Sep 1, 1996·European Heart Journal·A Vogt, K L Neuhaus
Mar 29, 2002·The New England Journal of Medicine·Gregg W StoneUNKNOWN Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications (CADILLAC) Investigators
Oct 16, 2002·Chest·Hon-Kan YipChiung-Jen Wu
Citations
Apr 5, 2013·PloS One·Xingli WuYu Wang
Sep 15, 2005·International Heart Journal·Hon-Kan YipMien-Cheng Chen
Mar 24, 2007·International Heart Journal·Cheng-An ChiuHon-Kan Yip
May 13, 2005·Chest·Hon-Kan YipChi-Ling Hang
May 31, 2015·International Journal of Cardiology·Jiunn-Jye SheuHon-Kan Yip
Apr 5, 2008·Angiology·Guliz Erdem YaziciTimur Timurkaynak
Jul 26, 2005·Circulation Journal : Official Journal of the Japanese Circulation Society·Hon-Kan YipChi-Ling Hang