PMID: 15376732Sep 21, 2004Paper

Importance of complex additional stenosis after primary angioplasty for acute myocardial infarction in medium-term prognosis

Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
Ana Teresa TimóteoJorge Quininha

Abstract

There is some controversy about the ideal type of revascularization in the context of primary angioplasty (percutaneous coronary intervention--PCI) for acute myocardial infarction (AMI). The presence of additional stenosis, especially if complex, can have an impact on prognosis. To evaluate medium-term (1-year) prognosis according to the presence of complex additional stenosis after primary PCI. A retrospective study of 138 consecutive patients admitted to our unit for ST-segment elevation AMI who underwent primary PCI. Patients were followed up for 1 year and divided in 2 groups: without complex additional stenosis (n = 69, 61 +/- 14 years, 62% males) and with complex additional stenosis (n = 69, 65 +/- 13 years, 73% males, p = NS). We evaluated demographic characteristics, risk factors for coronary artery disease, previous cardiac history and signs of heart failure on admission. Angiographic characteristics, medication and PCI outcome were also evaluated. The impact of these variables on the combined end-point of death, reinfarction, and myocardial revascularization at 1 year was assessed. The angiographic success rate was 96.4%. Twenty-four percent of patients were aged 75 years or over and 4.3% of the total population were ...Continue Reading

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