Influence of previous myocardial infarction site on in-hospital outcome after primary percutaneous coronary intervention for repeat myocardial infarction

Journal of cardiology
Jun ShiraishiHiroaki Matsubara

Abstract

Recurrent acute myocardial infarction (AMI) is a disastrous condition with high in-hospital morbidity and mortality. However, the relation between location of previous myocardial infarction (MI) and in-hospital outcome in repeat-AMI patients undergoing primary percutaneous coronary intervention (PCI) remains unclear. Using the AMI-Kyoto Multi-Center Risk Study database, clinical background, angiographic findings, results of primary PCI, and in-hospital prognosis were retrospectively compared between primary PCI-treated AMI patients with previous anterior MI (anterior group, n=151) and those with previous non-anterior MI (non-anterior group, n=157). Clinical backgrounds, angiographic findings, results of primary PCI, and in-hospital outcome did not differ significantly between the two groups. On multivariate analysis, Killip class > or =3 at admission, number of diseased vessels > or =2 or diseased left main trunk at initial coronary angiography, and age were the independent predictors of in-hospital mortality in the recurrent-AMI patients, but not the anterior location of previous MI. These results suggest that among recurrent-AMI patients undergoing primary PCI, in-hospital prognosis mostly depends on the severity of acute hea...Continue Reading

References

Apr 1, 1992·Journal of the American College of Cardiology·A R MoosviS Goldstein
Jul 13, 2001·The American Journal of Cardiology·F A CuraUNKNOWN GUSTO IIb and RAPPORT Investigators
Oct 10, 2002·The American Journal of Cardiology·Harold L DauermanUNKNOWN Global Registry of Acute Coronary Events. GRACE Investigators
Dec 4, 2003·Journal of the American College of Cardiology·Rajendra H MehtaUNKNOWN Primary Angioplasty in Myocardial Infarction (PAMI) Investigators
Jun 7, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Guido ParodiDavid Antoniucci
Jun 26, 2008·Circulation Journal : Official Journal of the Japanese Circulation Society·Jun ShiraishiUNKNOWN AMI-Kyoto Multi-Center Risk Study Group
Jul 26, 2008·Circulation Journal : Official Journal of the Japanese Circulation Society·Jun ShiraishiUNKNOWN AMI-Kyoto Multi-Center Risk Study Group

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