Emergency coronary angioplasty for acute myocardial infarction: Predictors of early occlusion of the infarct-related artery after balloon inflation
The factors responsible for early occlusion of the infarct vessel after emergency percutaneous transluminal coronary angioplasty (PTCA) were retrospectively examined in 191 patients with acute myocardial infarction. During the 24-hour period after the initial balloon inflation, 47 patients (25%) had...
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| Veröffentlicht in: | The American heart journal 1993-04, Vol.125 (4), p.931-938 |
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| container_title | The American heart journal |
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| creator | Shirotani, Manabu Yui, Yoshiki Hattori, Ryuichi Morishita, Hiroshi Kawai, Chuichi Susawa, Takashi Tamaki, Shun-ichi Takahashi, Mamoru Sakaguchi, Keiji |
| description | The factors responsible for early occlusion of the infarct vessel after emergency percutaneous transluminal coronary angioplasty (PTCA) were retrospectively examined in 191 patients with acute myocardial infarction. During the 24-hour period after the initial balloon inflation, 47 patients (25%) had occlusion of the vessel (occlusion group), whereas 144 did not (nonocclusion group). The former patients immediately underwent repeat PTCA, which was successful in 37. Univariate correlates of early occlusion were a shorter time interval between the onset of symptoms and PTCA (3.5 ± 2.2 vs 4.5 ± 2.9 hours,
p = 0.025), right coronary artery involvement (53% vs 30%,
p = 0.015), prior thrombolytic therapy (49% vs 32%,
p = 0.035), and undersized inflation (43% vs 17%,
p < 0.001). With multivariate analysis the three independent predictors were undersized inflation (
p = 0.011). Thus patients undergoing early PTCA and having right coronary artery involvement appear to be at greater risk of having early occlusion. Thrombolytic agents and undersized inflation may also play an important role in its development. |
| doi_str_mv | 10.1016/0002-8703(93)90099-U |
| format | Article |
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p = 0.025), right coronary artery involvement (53% vs 30%,
p = 0.015), prior thrombolytic therapy (49% vs 32%,
p = 0.035), and undersized inflation (43% vs 17%,
p < 0.001). With multivariate analysis the three independent predictors were undersized inflation (
p = 0.011). Thus patients undergoing early PTCA and having right coronary artery involvement appear to be at greater risk of having early occlusion. Thrombolytic agents and undersized inflation may also play an important role in its development.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(93)90099-U</identifier><identifier>PMID: 8465765</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Angioplasty, Balloon, Coronary ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary Disease - etiology ; Coronary heart disease ; Emergency Medical Services ; Female ; Forecasting ; Heart ; Hemorrhage - etiology ; Humans ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Myocardial Infarction - therapy ; Postoperative Complications ; Thrombolytic Therapy ; Treatment Outcome</subject><ispartof>The American heart journal, 1993-04, Vol.125 (4), p.931-938</ispartof><rights>1993</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-33f4cac99553f7b4e044abd9f4ec26c690aae8882227bb769a42026dfd0f5aaf3</citedby><cites>FETCH-LOGICAL-c481t-33f4cac99553f7b4e044abd9f4ec26c690aae8882227bb769a42026dfd0f5aaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-8703(93)90099-U$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4740350$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8465765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shirotani, Manabu</creatorcontrib><creatorcontrib>Yui, Yoshiki</creatorcontrib><creatorcontrib>Hattori, Ryuichi</creatorcontrib><creatorcontrib>Morishita, Hiroshi</creatorcontrib><creatorcontrib>Kawai, Chuichi</creatorcontrib><creatorcontrib>Susawa, Takashi</creatorcontrib><creatorcontrib>Tamaki, Shun-ichi</creatorcontrib><creatorcontrib>Takahashi, Mamoru</creatorcontrib><creatorcontrib>Sakaguchi, Keiji</creatorcontrib><title>Emergency coronary angioplasty for acute myocardial infarction: Predictors of early occlusion of the infarct-related artery after balloon inflation</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>The factors responsible for early occlusion of the infarct vessel after emergency percutaneous transluminal coronary angioplasty (PTCA) were retrospectively examined in 191 patients with acute myocardial infarction. During the 24-hour period after the initial balloon inflation, 47 patients (25%) had occlusion of the vessel (occlusion group), whereas 144 did not (nonocclusion group). The former patients immediately underwent repeat PTCA, which was successful in 37. Univariate correlates of early occlusion were a shorter time interval between the onset of symptoms and PTCA (3.5 ± 2.2 vs 4.5 ± 2.9 hours,
p = 0.025), right coronary artery involvement (53% vs 30%,
p = 0.015), prior thrombolytic therapy (49% vs 32%,
p = 0.035), and undersized inflation (43% vs 17%,
p < 0.001). With multivariate analysis the three independent predictors were undersized inflation (
p = 0.011). Thus patients undergoing early PTCA and having right coronary artery involvement appear to be at greater risk of having early occlusion. Thrombolytic agents and undersized inflation may also play an important role in its development.</description><subject>Aged</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Disease - etiology</subject><subject>Coronary heart disease</subject><subject>Emergency Medical Services</subject><subject>Female</subject><subject>Forecasting</subject><subject>Heart</subject><subject>Hemorrhage - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Myocardial Infarction - therapy</subject><subject>Postoperative Complications</subject><subject>Thrombolytic Therapy</subject><subject>Treatment Outcome</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd-K1TAQxoMo69nVN1DIhch6UU3TNG32QpBl_QMLeuG5DtN0skbS5pikQp_DFzblHM-lEBiS7_fNhG8IeVGztzWr5TvGGK_6jjXXqnmjGFOq2j8iu5qprpKdEI_J7ow8JZcp_SxXyXt5QS56IdtOtjvy527C-ICzWakJMcwQVwrzgwsHDymv1IZIwSwZ6bQGA3F04KmbLUSTXZhv6LeIozM5xESDpQjRrzQY45dU5O0p_8B_hiqih4wjhZhxG2RLoQN4HwpboKIW1zPyxIJP-PxUr8j-493328_V_ddPX24_3FdG9HWumsYKA0aptm1sNwhkQsAwKivQcGmkYgDY9z3nvBuGTioQnHE52pHZFsA2V-T1se8hhl8Lpqwnlwx6DzOGJemulZIL1hRQHEETQ0oRrT5EN5WodM30tgu9Ba23oLUqZ9uF3hfby1P_ZZhwPJtO4Rf91UmHZMDbCLNx6YyJrsxuWcHeHzEsWfx2GHUyrmys5B7RZD0G9_9__AXM26nT</recordid><startdate>19930401</startdate><enddate>19930401</enddate><creator>Shirotani, Manabu</creator><creator>Yui, Yoshiki</creator><creator>Hattori, Ryuichi</creator><creator>Morishita, Hiroshi</creator><creator>Kawai, Chuichi</creator><creator>Susawa, Takashi</creator><creator>Tamaki, Shun-ichi</creator><creator>Takahashi, Mamoru</creator><creator>Sakaguchi, Keiji</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930401</creationdate><title>Emergency coronary angioplasty for acute myocardial infarction: Predictors of early occlusion of the infarct-related artery after balloon inflation</title><author>Shirotani, Manabu ; Yui, Yoshiki ; Hattori, Ryuichi ; Morishita, Hiroshi ; Kawai, Chuichi ; Susawa, Takashi ; Tamaki, Shun-ichi ; Takahashi, Mamoru ; Sakaguchi, Keiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-33f4cac99553f7b4e044abd9f4ec26c690aae8882227bb769a42026dfd0f5aaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Disease - etiology</topic><topic>Coronary heart disease</topic><topic>Emergency Medical Services</topic><topic>Female</topic><topic>Forecasting</topic><topic>Heart</topic><topic>Hemorrhage - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Myocardial Infarction - therapy</topic><topic>Postoperative Complications</topic><topic>Thrombolytic Therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shirotani, Manabu</creatorcontrib><creatorcontrib>Yui, Yoshiki</creatorcontrib><creatorcontrib>Hattori, Ryuichi</creatorcontrib><creatorcontrib>Morishita, Hiroshi</creatorcontrib><creatorcontrib>Kawai, Chuichi</creatorcontrib><creatorcontrib>Susawa, Takashi</creatorcontrib><creatorcontrib>Tamaki, Shun-ichi</creatorcontrib><creatorcontrib>Takahashi, Mamoru</creatorcontrib><creatorcontrib>Sakaguchi, Keiji</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shirotani, Manabu</au><au>Yui, Yoshiki</au><au>Hattori, Ryuichi</au><au>Morishita, Hiroshi</au><au>Kawai, Chuichi</au><au>Susawa, Takashi</au><au>Tamaki, Shun-ichi</au><au>Takahashi, Mamoru</au><au>Sakaguchi, Keiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency coronary angioplasty for acute myocardial infarction: Predictors of early occlusion of the infarct-related artery after balloon inflation</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1993-04-01</date><risdate>1993</risdate><volume>125</volume><issue>4</issue><spage>931</spage><epage>938</epage><pages>931-938</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>The factors responsible for early occlusion of the infarct vessel after emergency percutaneous transluminal coronary angioplasty (PTCA) were retrospectively examined in 191 patients with acute myocardial infarction. During the 24-hour period after the initial balloon inflation, 47 patients (25%) had occlusion of the vessel (occlusion group), whereas 144 did not (nonocclusion group). The former patients immediately underwent repeat PTCA, which was successful in 37. Univariate correlates of early occlusion were a shorter time interval between the onset of symptoms and PTCA (3.5 ± 2.2 vs 4.5 ± 2.9 hours,
p = 0.025), right coronary artery involvement (53% vs 30%,
p = 0.015), prior thrombolytic therapy (49% vs 32%,
p = 0.035), and undersized inflation (43% vs 17%,
p < 0.001). With multivariate analysis the three independent predictors were undersized inflation (
p = 0.011). Thus patients undergoing early PTCA and having right coronary artery involvement appear to be at greater risk of having early occlusion. Thrombolytic agents and undersized inflation may also play an important role in its development.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>8465765</pmid><doi>10.1016/0002-8703(93)90099-U</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Angioplasty, Balloon, Coronary Biological and medical sciences Cardiology. Vascular system Coronary Disease - etiology Coronary heart disease Emergency Medical Services Female Forecasting Heart Hemorrhage - etiology Humans Male Medical sciences Middle Aged Multivariate Analysis Myocardial Infarction - therapy Postoperative Complications Thrombolytic Therapy Treatment Outcome |
| title | Emergency coronary angioplasty for acute myocardial infarction: Predictors of early occlusion of the infarct-related artery after balloon inflation |
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