Prospective observational study of primary angioplasty of the infarct-related artery for acute myocardial infarction.
Indian Heart J
;
1999 Mar-Apr; 51(2): 167-72
Article
in English
| IMSEAR
| ID: sea-5645
ABSTRACT
Primary angioplasty has been shown to reduce rates of in-hospital mortality, recurrent ischaemia and infarction. However, the role of primary stenting and abciximab is presently undergoing evaluation. This study attempted to examine the feasibility, safety and outcomes of primary angioplasty in the treatment of acute myocardial infarction. Data in 100 patients who underwent primary angioplasty for evolving acute myocardial infarction was prospectively analysed to assess the safety and efficacy of various modalities. Twenty patients were in Killip class III and above. Multivessel (2 or more vessels) disease was noted in more than 52 cases. Procedural success was 99 percent; 86 patients received primary stenting, majority of them had Kalam-Raju stent implantation. Adjunct treatment included abciximab infusion in 22 and intra-aortic balloon pump support in 12. Overall mortality rate was six percent with a mortality of 2.2 percent in non-cardiogenic shock patients. Recurrent ischaemic events were noted in five, three of them had successful reperfusion with repeat angioplasty. None of the patients had emergency coronary artery bypass surgery. It is concluded that primary angioplasty is safe and effective with high procedural success. Recurrent ischaemic events are low, possibly due to routine use of stenting and selective use of abciximab.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Recurrence
/
Female
/
Humans
/
Male
/
Immunoglobulin Fab Fragments
/
Angioplasty, Balloon, Coronary
/
Stents
/
Feasibility Studies
/
Prospective Studies
/
Treatment Outcome
Type of study:
Observational study
Language:
English
Journal:
Indian heart j
Year:
1999
Type:
Article
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