PMID: 8542624Nov 1, 1995

Predictors of short term clinical and angiographic outcome after coronary angioplasty for acute myocardial infarction

Catheterization and Cardiovascular Diagnosis
M ZimarinoY Guérin

Abstract

Coronary angioplasty is an effective method to achieve myocardial reperfusion in acute myocardial infarction (AMI). We reviewed our experience in 132 patients (pts) who underwent percutaneous transluminal coronary angioplasty (PTCA) of a totally occluded infarct-related artery (IRA) within 24 h after the onset of symptoms (mean delay 10 +/- 7 h), in order to identify the predictors of primary success and of major complications. PTCA was successfully performed in 113 patients (86%). Failure without complications occurred in 12 patients (8.4%); untoward events (death and emergency CABG) occurred in seven patients (5.3%). Pts in the failure group were more likely to have cardiogenic shock (53 vs. 8.8%, P < .0005), longer time to reperfusion (15 +/- 6 vs. 9 +/- 6 h, P < .0005), lower ejection fraction (EF) (42 +/- 16 vs. 54 +/- 12%, P < .0005), multivessel disease (74 vs. 43%, P < .03), and a smaller IRA diameter (2.8 +/- 0.6 vs. 3.1 +/- 0.6 mm, P < .03). Sex, age, previous bypass surgery, previous thrombolytic treatment, IRA, and infarct location were similar in both groups. Absence of cardiogenic shock (P < .0001), decreasing time to reperfusion (P < .005) and increasing EF (P < .02) were independent predictors of successful PTCA...Continue Reading

Citations

Mar 11, 1992·Journal of the American College of Cardiology·M D HibbardB J Gersh
Jun 1, 1992·Circulation·A J Tiefenbrunn, B E Sobel
Nov 1, 1991·Circulation·P D Wagner
Aug 1, 1987·Journal of the American College of Cardiology·D RothbaumM R See
Dec 1, 1988·Journal of the American College of Cardiology·S G EllisW W O'Neill
Sep 1, 1993·Journal of the American College of Cardiology·J B BedottoG O Hartzler
Mar 11, 1993·The New England Journal of Medicine·R Lange, L D Hillis

Related Concepts

Arterial System
Transluminal Route of Drug Administration
Myocardium
Myocardial Infarction
Stenosis (invertebrate)
Coronary Artery Bypass Surgery
Obstruction
Myocardial Reperfusion
Heart
Dental Occlusion

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