Long-term clinical outcome of acute myocardial infarction according to the early revascularization method: a comparison of primary percutaneous coronary interventions and fibrinolysis followed by routine invasive treatment
| Autor: | Jae Woong Choi, Seunghwan Kim, Chang Sup Song, Chi Woo Song, Young Bin Kim, Sung Kee Ryu, Ji Young Park, Se Jong Kim, Hyang Ki Min, Dong Shin Kim |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Percutaneous coronary intervention Thrombolysis 030204 cardiovascular system & hematology Revascularization medicine.disease 03 medical and health sciences 0302 clinical medicine Internal medicine Fibrinolysis Conventional PCI medicine Cardiology 030212 general & internal medicine Myocardial infarction business Stroke Survival rate |
| Zdroj: | Yeungnam University Journal of Medicine. 34:191-199 |
| ISSN: | 2384-0293 |
| DOI: | 10.12701/yujm.2017.34.2.191 |
| Popis: | Background: This study was conducted to provide a comparison between the clinical outcomes of primary percutaneous coronary intervention (PCI) and that of fibrinolysis followed by routine invasive treatment in ST elevation myocardial infarction (STEMI). Methods: A total of 184 consecutive STEMI patients who underwent primary PCI or fibrinolysis followed by a routine invasive therapy were enrolled from 2004 to 2011, and their major adverse cardiovascular events (MACEs) were compared. Results: Among the 184 patients, 146 patients received primary PCI and 38 patients received fibrinolysis. The baseline clinical characteristics were similar between both groups, except for triglyceride level (68.1±66.62 vs. 141.6±154.3 mg/dL, p=0.007) and high density lipoprotein level (44.6±10.3 vs. 39.5±8.1 mg/dL, p=0.005). The initial creatine kinase-MB level was higher in the primary PCI group (71.5±114.2 vs. 35.9±59.9 ng/mL, p=0.010). The proportion of pre-thrombolysis in MI 0 to 2 flow lesions (92.9% vs. 73.0%, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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