A comparison of rescue and primary percutaneous coronary interventions for acute myocardial infarction: a multicenter registry report of 9,371 patients
OBJECTIVETo perform a comparative analysis of in-hospital results obtained from AMI patients who underwent rescue or primary PTCA.METHODSFrom the Brazilian Interventional National Registry (CENIC), we selected all consecutive patients who underwent a percutaneous coronary intervention for myocardial...
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| Veröffentlicht in: | Arquivos brasileiros de cardiologia 2004-05, Vol.82 (5), p.434-439 |
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| creator | Mattos, Luiz Alberto Sousa, Amanda G M R Pinto, Ibraim M F Silva, Expedito R Carneiro, José Klauber Sousa, J Eduardo Mangione, José Armando Caramori, Paulo Lima, Valter Bueno, Ronaldo L |
| description | OBJECTIVETo perform a comparative analysis of in-hospital results obtained from AMI patients who underwent rescue or primary PTCA.METHODSFrom the Brazilian Interventional National Registry (CENIC), we selected all consecutive patients who underwent a percutaneous coronary intervention for myocardial infarction (< 24 hours), between 1997 and 2000, analyzing those undergoing a rescue (n=840) or a primary (n=8,531) procedure, and comparing their in-hospital results.RESULTSRescue patients were significantly younger males with anterior wall infarctions, associated with left ventricular dysfunction, but had less multivessel disease, compared with those treated with primary intervention. Coronary stents were implanted in at similar rates (56.9% vs. 54.9%; P=0.283). Procedural success were lower for rescue cases (88.1% vs. 91.2%; P |
| doi_str_mv | 10.1590/s0066-782x2004000500006 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_miscellaneous_66835616</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66835616</sourcerecordid><originalsourceid>FETCH-LOGICAL-p99t-704bc3df9b6e91c9e1e3cbc706bd08c200d67884bc9a5cca611567fa238a71903</originalsourceid><addsrcrecordid>eNo1kE1OwzAQhb0AiVI4A16xIjCOGztmV1X8SZXYdMGucpwJMkrsYDuInoTr4qiwGI0075v3NEPIFYNbVim4iwBCFLIuv0uAFQBUuUCckMW_8HZGzmP8AChLyasF-VlT44dRBxu9o76jAaOZkGrX0jHYQYcDHTGYKWmHfoqZDt7NU-sShi90yXoXaecD1ZlCOhy80aG1us9Ip4OZgXuq6TD1yRqc13LKu40puwQcfUhzsLrhktFRJ5uReEFOO91HvPzrS7J7fNhtnovt69PLZr0tRqVSIWHVGN52qhGomFHIkJvGSBBNC7XJT2iFrOsMKV0ZowVjlZCdLnmtJVPAl-T6aDsG_zlhTPvBRoN9f7x2L0TNK8EE_wWJXW4C</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>66835616</pqid></control><display><type>article</type><title>A comparison of rescue and primary percutaneous coronary interventions for acute myocardial infarction: a multicenter registry report of 9,371 patients</title><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Mattos, Luiz Alberto ; Sousa, Amanda G M R ; Pinto, Ibraim M F ; Silva, Expedito R ; Carneiro, José Klauber ; Sousa, J Eduardo ; Mangione, José Armando ; Caramori, Paulo ; Lima, Valter ; Bueno, Ronaldo L</creator><creatorcontrib>Mattos, Luiz Alberto ; Sousa, Amanda G M R ; Pinto, Ibraim M F ; Silva, Expedito R ; Carneiro, José Klauber ; Sousa, J Eduardo ; Mangione, José Armando ; Caramori, Paulo ; Lima, Valter ; Bueno, Ronaldo L</creatorcontrib><description>OBJECTIVETo perform a comparative analysis of in-hospital results obtained from AMI patients who underwent rescue or primary PTCA.METHODSFrom the Brazilian Interventional National Registry (CENIC), we selected all consecutive patients who underwent a percutaneous coronary intervention for myocardial infarction (< 24 hours), between 1997 and 2000, analyzing those undergoing a rescue (n=840) or a primary (n=8,531) procedure, and comparing their in-hospital results.RESULTSRescue patients were significantly younger males with anterior wall infarctions, associated with left ventricular dysfunction, but had less multivessel disease, compared with those treated with primary intervention. Coronary stents were implanted in at similar rates (56.9% vs. 54.9%; P=0.283). Procedural success were lower for rescue cases (88.1% vs. 91.2%; P<0.001), with higher mortality (7.4% vs. 5.6%; P=0.034), compared with the primary intervention group; target vessel revascularization (< or =0.5%), emergency bypass surgery (< or =0.3%) and reinfarction (< or =2.6%) rates were similar for both strategies. Multivariate analysis identified the rescue procedure as a predictor of in-hospital death [OR(CI=95%) = 1.60 (1.17-2.19); P=0.003].CONCLUSIONPatients who underwent a rescue coronary intervention had higher in-hospital death rates compared with those who underwent a primary coronary intervention.</description><identifier>ISSN: 0066-782X</identifier><identifier>DOI: 10.1590/s0066-782x2004000500006</identifier><language>eng ; por</language><ispartof>Arquivos brasileiros de cardiologia, 2004-05, Vol.82 (5), p.434-439</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Mattos, Luiz Alberto</creatorcontrib><creatorcontrib>Sousa, Amanda G M R</creatorcontrib><creatorcontrib>Pinto, Ibraim M F</creatorcontrib><creatorcontrib>Silva, Expedito R</creatorcontrib><creatorcontrib>Carneiro, José Klauber</creatorcontrib><creatorcontrib>Sousa, J Eduardo</creatorcontrib><creatorcontrib>Mangione, José Armando</creatorcontrib><creatorcontrib>Caramori, Paulo</creatorcontrib><creatorcontrib>Lima, Valter</creatorcontrib><creatorcontrib>Bueno, Ronaldo L</creatorcontrib><title>A comparison of rescue and primary percutaneous coronary interventions for acute myocardial infarction: a multicenter registry report of 9,371 patients</title><title>Arquivos brasileiros de cardiologia</title><description>OBJECTIVETo perform a comparative analysis of in-hospital results obtained from AMI patients who underwent rescue or primary PTCA.METHODSFrom the Brazilian Interventional National Registry (CENIC), we selected all consecutive patients who underwent a percutaneous coronary intervention for myocardial infarction (< 24 hours), between 1997 and 2000, analyzing those undergoing a rescue (n=840) or a primary (n=8,531) procedure, and comparing their in-hospital results.RESULTSRescue patients were significantly younger males with anterior wall infarctions, associated with left ventricular dysfunction, but had less multivessel disease, compared with those treated with primary intervention. Coronary stents were implanted in at similar rates (56.9% vs. 54.9%; P=0.283). Procedural success were lower for rescue cases (88.1% vs. 91.2%; P<0.001), with higher mortality (7.4% vs. 5.6%; P=0.034), compared with the primary intervention group; target vessel revascularization (< or =0.5%), emergency bypass surgery (< or =0.3%) and reinfarction (< or =2.6%) rates were similar for both strategies. Multivariate analysis identified the rescue procedure as a predictor of in-hospital death [OR(CI=95%) = 1.60 (1.17-2.19); P=0.003].CONCLUSIONPatients who underwent a rescue coronary intervention had higher in-hospital death rates compared with those who underwent a primary coronary intervention.</description><issn>0066-782X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNo1kE1OwzAQhb0AiVI4A16xIjCOGztmV1X8SZXYdMGucpwJMkrsYDuInoTr4qiwGI0075v3NEPIFYNbVim4iwBCFLIuv0uAFQBUuUCckMW_8HZGzmP8AChLyasF-VlT44dRBxu9o76jAaOZkGrX0jHYQYcDHTGYKWmHfoqZDt7NU-sShi90yXoXaecD1ZlCOhy80aG1us9Ip4OZgXuq6TD1yRqc13LKu40puwQcfUhzsLrhktFRJ5uReEFOO91HvPzrS7J7fNhtnovt69PLZr0tRqVSIWHVGN52qhGomFHIkJvGSBBNC7XJT2iFrOsMKV0ZowVjlZCdLnmtJVPAl-T6aDsG_zlhTPvBRoN9f7x2L0TNK8EE_wWJXW4C</recordid><startdate>20040501</startdate><enddate>20040501</enddate><creator>Mattos, Luiz Alberto</creator><creator>Sousa, Amanda G M R</creator><creator>Pinto, Ibraim M F</creator><creator>Silva, Expedito R</creator><creator>Carneiro, José Klauber</creator><creator>Sousa, J Eduardo</creator><creator>Mangione, José Armando</creator><creator>Caramori, Paulo</creator><creator>Lima, Valter</creator><creator>Bueno, Ronaldo L</creator><scope>7X8</scope></search><sort><creationdate>20040501</creationdate><title>A comparison of rescue and primary percutaneous coronary interventions for acute myocardial infarction: a multicenter registry report of 9,371 patients</title><author>Mattos, Luiz Alberto ; Sousa, Amanda G M R ; Pinto, Ibraim M F ; Silva, Expedito R ; Carneiro, José Klauber ; Sousa, J Eduardo ; Mangione, José Armando ; Caramori, Paulo ; Lima, Valter ; Bueno, Ronaldo L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p99t-704bc3df9b6e91c9e1e3cbc706bd08c200d67884bc9a5cca611567fa238a71903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2004</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mattos, Luiz Alberto</creatorcontrib><creatorcontrib>Sousa, Amanda G M R</creatorcontrib><creatorcontrib>Pinto, Ibraim M F</creatorcontrib><creatorcontrib>Silva, Expedito R</creatorcontrib><creatorcontrib>Carneiro, José Klauber</creatorcontrib><creatorcontrib>Sousa, J Eduardo</creatorcontrib><creatorcontrib>Mangione, José Armando</creatorcontrib><creatorcontrib>Caramori, Paulo</creatorcontrib><creatorcontrib>Lima, Valter</creatorcontrib><creatorcontrib>Bueno, Ronaldo L</creatorcontrib><collection>MEDLINE - Academic</collection><jtitle>Arquivos brasileiros de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mattos, Luiz Alberto</au><au>Sousa, Amanda G M R</au><au>Pinto, Ibraim M F</au><au>Silva, Expedito R</au><au>Carneiro, José Klauber</au><au>Sousa, J Eduardo</au><au>Mangione, José Armando</au><au>Caramori, Paulo</au><au>Lima, Valter</au><au>Bueno, Ronaldo L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of rescue and primary percutaneous coronary interventions for acute myocardial infarction: a multicenter registry report of 9,371 patients</atitle><jtitle>Arquivos brasileiros de cardiologia</jtitle><date>2004-05-01</date><risdate>2004</risdate><volume>82</volume><issue>5</issue><spage>434</spage><epage>439</epage><pages>434-439</pages><issn>0066-782X</issn><abstract>OBJECTIVETo perform a comparative analysis of in-hospital results obtained from AMI patients who underwent rescue or primary PTCA.METHODSFrom the Brazilian Interventional National Registry (CENIC), we selected all consecutive patients who underwent a percutaneous coronary intervention for myocardial infarction (< 24 hours), between 1997 and 2000, analyzing those undergoing a rescue (n=840) or a primary (n=8,531) procedure, and comparing their in-hospital results.RESULTSRescue patients were significantly younger males with anterior wall infarctions, associated with left ventricular dysfunction, but had less multivessel disease, compared with those treated with primary intervention. Coronary stents were implanted in at similar rates (56.9% vs. 54.9%; P=0.283). Procedural success were lower for rescue cases (88.1% vs. 91.2%; P<0.001), with higher mortality (7.4% vs. 5.6%; P=0.034), compared with the primary intervention group; target vessel revascularization (< or =0.5%), emergency bypass surgery (< or =0.3%) and reinfarction (< or =2.6%) rates were similar for both strategies. Multivariate analysis identified the rescue procedure as a predictor of in-hospital death [OR(CI=95%) = 1.60 (1.17-2.19); P=0.003].CONCLUSIONPatients who underwent a rescue coronary intervention had higher in-hospital death rates compared with those who underwent a primary coronary intervention.</abstract><doi>10.1590/s0066-782x2004000500006</doi><tpages>6</tpages></addata></record> |
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| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| title | A comparison of rescue and primary percutaneous coronary interventions for acute myocardial infarction: a multicenter registry report of 9,371 patients |
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