Survival and cardiac event rates in the first year after emergency coronary angioplasty for acute myocardial infarction

Autor: Stack, Richard S., Califf, Robert M., Hinohara, Tomoaki, Phillips, Harry R., Pryor, David B., Simonton, Charles A., Carlson, Eric B., Morris, Kenneth G., Behar, Victor S., Kong, Yihong, Peter, Robert H., Hlatky, Mark A., O'Connor, Christopher M., Mark, Daniel B.
Zdroj: Journal of the American College of Cardiology; June 1988, Vol. 11 Issue: 6 p1141-1149, 9p
Abstrakt: One year survival and event-free survival rates were analyzed in 342 patients with acute myocardial infarction who were consecutively enrolled in a treatment protocol of early intravenous thrombolytic therapy followed by emergency coronary angioplasty. Ninety-four percent of the patients achieved successful reperfusion, including 4% with failed angioplasty whose perfusion was maintained by means of a reperfusion catheter before emergency bypass surgery. The procedural mortality rate was 1.2% and the total in-hospital mortality rate was 11%. Ninety-two percent of surviving nonsurgical patients who underwent repeat cardiac catheterization were discharged from the hospital with an open infarct-related artery. The related cumulative 1 year survival rate for all patients managed with this treatment strategy was 87%, and the cardiac event-free survival rate was 84%. The 1 year survival for hospital survivors was 98% and the infarct-free survival rate was 94%.
Databáze: Supplemental Index