Emergency angioplasty in acute anterior myocardial infarction
Ninety-three patients with acute anterior myocardial infarction were treated with emergency percutaneous transluminal coronary angioplasty (PTCA). All were found to have a high-grade obstruction in the left anterior descending (LAD) vessel or the bypass graft to this vessel; 64 patients had a total...
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| Veröffentlicht in: | The American heart journal 1989-12, Vol.118 (6), p.1154-1160 |
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| container_issue | 6 |
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| container_title | The American heart journal |
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| creator | Flaker, Greg C. Webel, Richard R. Meinhardt, Susan Anderson, Sharon Santolin, Craig Artis, Andre Krol, Ryzard |
| description | Ninety-three patients with acute anterior myocardial infarction were treated with emergency percutaneous transluminal coronary angioplasty (PTCA). All were found to have a high-grade obstruction in the left anterior descending (LAD) vessel or the bypass graft to this vessel; 64 patients had a total occlusion. A completely successful PTCA, defined as a residual lesion of ≤50%, was achieved in 73 (78%) patients. A partially successful PTCA, with a residual lesion of 51% to 99%, was achieved in 12 (13%) patients. PTCA was unsuccessful in eight (9%) patients. Hospital mortality was 14%. Three parameters viewed separately each predicted hospital mortality: presence of shock, a proximal location of the LAD vessel occlusion, and the residual stenosis after PTCA. Reocclusion was found in only 11% of patients but 34% had evidence of restenosis on restudy. |
| doi_str_mv | 10.1016/0002-8703(89)90003-3 |
| format | Article |
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All were found to have a high-grade obstruction in the left anterior descending (LAD) vessel or the bypass graft to this vessel; 64 patients had a total occlusion. A completely successful PTCA, defined as a residual lesion of ≤50%, was achieved in 73 (78%) patients. A partially successful PTCA, with a residual lesion of 51% to 99%, was achieved in 12 (13%) patients. PTCA was unsuccessful in eight (9%) patients. Hospital mortality was 14%. Three parameters viewed separately each predicted hospital mortality: presence of shock, a proximal location of the LAD vessel occlusion, and the residual stenosis after PTCA. Reocclusion was found in only 11% of patients but 34% had evidence of restenosis on restudy.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(89)90003-3</identifier><identifier>PMID: 2589154</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Angiography ; Angioplasty, Balloon, Coronary ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary heart disease ; Emergency Medical Services ; Female ; Follow-Up Studies ; Heart ; Heart - physiopathology ; Heart Ventricles ; Hemodynamics ; Humans ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - mortality ; Myocardial Infarction - physiopathology ; Myocardial Infarction - therapy ; Survival Analysis</subject><ispartof>The American heart journal, 1989-12, Vol.118 (6), p.1154-1160</ispartof><rights>1989</rights><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-b2665c56c08cce2cf171bb6f00dc6e5196a2567240c5918095e2b3ae8255aa2e3</citedby><cites>FETCH-LOGICAL-c386t-b2665c56c08cce2cf171bb6f00dc6e5196a2567240c5918095e2b3ae8255aa2e3</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(89)90003-3$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6718767$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2589154$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Flaker, Greg C.</creatorcontrib><creatorcontrib>Webel, Richard R.</creatorcontrib><creatorcontrib>Meinhardt, Susan</creatorcontrib><creatorcontrib>Anderson, Sharon</creatorcontrib><creatorcontrib>Santolin, Craig</creatorcontrib><creatorcontrib>Artis, Andre</creatorcontrib><creatorcontrib>Krol, Ryzard</creatorcontrib><title>Emergency angioplasty in acute anterior myocardial infarction</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Ninety-three patients with acute anterior myocardial infarction were treated with emergency percutaneous transluminal coronary angioplasty (PTCA). All were found to have a high-grade obstruction in the left anterior descending (LAD) vessel or the bypass graft to this vessel; 64 patients had a total occlusion. A completely successful PTCA, defined as a residual lesion of ≤50%, was achieved in 73 (78%) patients. A partially successful PTCA, with a residual lesion of 51% to 99%, was achieved in 12 (13%) patients. PTCA was unsuccessful in eight (9%) patients. Hospital mortality was 14%. Three parameters viewed separately each predicted hospital mortality: presence of shock, a proximal location of the LAD vessel occlusion, and the residual stenosis after PTCA. Reocclusion was found in only 11% of patients but 34% had evidence of restenosis on restudy.</description><subject>Aged</subject><subject>Angiography</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary heart disease</subject><subject>Emergency Medical Services</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart - physiopathology</subject><subject>Heart Ventricles</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Myocardial Infarction - therapy</subject><subject>Survival Analysis</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMlKA0EQhhtRNC5voJCDiB5Ge5neDgoicQHBi56bnpoaaZkldk-EvL0dE3L0VFT9XxXFR8gpo9eMMnVDKeWF0VRcGntlcycKsUMmjFpdKF2Wu2SyRQ7IYUpfuVXcqH2yz6WxTJYTcjvrMH5iD8up7z_DMG99GpfT0E89LEbMwxFjGOK0Ww7gYx18m8PGRxjD0B-Tvca3CU829Yh8PM7eH56L17enl4f71wKEUWNRcaUkSAXUACCHhmlWVaqhtAaFklnluVSalxSkZYZaibwSHg2X0nuO4ohcrO_O4_C9wDS6LiTAtvU9DovktBVSaG0yWK5BiENKERs3j6HzcekYdStrbqXErZQ4Y92fNSfy2tnm_qLqsN4ubTTl_HyT-wS-baLvIaQtpjQzWumM3a0xzC5-AkaXIGS3WIeIMLp6CP__8Qt_fIfu</recordid><startdate>19891201</startdate><enddate>19891201</enddate><creator>Flaker, Greg C.</creator><creator>Webel, Richard R.</creator><creator>Meinhardt, Susan</creator><creator>Anderson, Sharon</creator><creator>Santolin, Craig</creator><creator>Artis, Andre</creator><creator>Krol, Ryzard</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>19891201</creationdate><title>Emergency angioplasty in acute anterior myocardial infarction</title><author>Flaker, Greg C. ; Webel, Richard R. ; Meinhardt, Susan ; Anderson, Sharon ; Santolin, Craig ; Artis, Andre ; Krol, Ryzard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-b2665c56c08cce2cf171bb6f00dc6e5196a2567240c5918095e2b3ae8255aa2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Aged</topic><topic>Angiography</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary heart disease</topic><topic>Emergency Medical Services</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart - physiopathology</topic><topic>Heart Ventricles</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - mortality</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Myocardial Infarction - therapy</topic><topic>Survival Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Flaker, Greg C.</creatorcontrib><creatorcontrib>Webel, Richard R.</creatorcontrib><creatorcontrib>Meinhardt, Susan</creatorcontrib><creatorcontrib>Anderson, Sharon</creatorcontrib><creatorcontrib>Santolin, Craig</creatorcontrib><creatorcontrib>Artis, Andre</creatorcontrib><creatorcontrib>Krol, Ryzard</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>Flaker, Greg C.</au><au>Webel, Richard R.</au><au>Meinhardt, Susan</au><au>Anderson, Sharon</au><au>Santolin, Craig</au><au>Artis, Andre</au><au>Krol, Ryzard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency angioplasty in acute anterior myocardial infarction</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1989-12-01</date><risdate>1989</risdate><volume>118</volume><issue>6</issue><spage>1154</spage><epage>1160</epage><pages>1154-1160</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Ninety-three patients with acute anterior myocardial infarction were treated with emergency percutaneous transluminal coronary angioplasty (PTCA). All were found to have a high-grade obstruction in the left anterior descending (LAD) vessel or the bypass graft to this vessel; 64 patients had a total occlusion. A completely successful PTCA, defined as a residual lesion of ≤50%, was achieved in 73 (78%) patients. A partially successful PTCA, with a residual lesion of 51% to 99%, was achieved in 12 (13%) patients. PTCA was unsuccessful in eight (9%) patients. Hospital mortality was 14%. Three parameters viewed separately each predicted hospital mortality: presence of shock, a proximal location of the LAD vessel occlusion, and the residual stenosis after PTCA. Reocclusion was found in only 11% of patients but 34% had evidence of restenosis on restudy.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>2589154</pmid><doi>10.1016/0002-8703(89)90003-3</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8703 |
| ispartof | The American heart journal, 1989-12, Vol.118 (6), p.1154-1160 |
| issn | 0002-8703 1097-6744 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Angiography Angioplasty, Balloon, Coronary Biological and medical sciences Cardiology. Vascular system Coronary heart disease Emergency Medical Services Female Follow-Up Studies Heart Heart - physiopathology Heart Ventricles Hemodynamics Humans Male Medical sciences Middle Aged Myocardial Infarction - mortality Myocardial Infarction - physiopathology Myocardial Infarction - therapy Survival Analysis |
| title | Emergency angioplasty in acute anterior myocardial infarction |
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