Clinical Experience With Primary Percutaneous Transluminal Coronary Angioplasty Compared With Alteplase (Recombinant Tissue-Type Plasminogen Activator) in Patients With Acute Myocardial Infarction

Tiefenbrunn, Alan J.; Chandra, Nisha; French, William J.; Gore, Joel M.; Rogers, William J.

doi:10.1016/s0735-1097(98)00094-1

Cited by 183 publications

(83 citation statements)

References 14 publications

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“…Two of 123 patients without cardiogenic shock died (1.6%) which is similar to international data which shows in-hospital mortality of 5.2% in the second national registry of myocardial infarction (NRMI2) and 3% in ASSENT 4 trial [17]. In our study 16 patients had cardiogenic shock and four of them died (25%) which is similar to available data-32% in NRMI 2, 46.4% in SHOCK registry and 59.1% in American College of CardiologyNational Cardiovascular Data Registry (ACC-NCDR) [18,19].…”

Section: Discussionsupporting

confidence: 91%

Outcome of early coronary intervention for acute ST elevation myocardial infarction in a tertiary care cardiac centre in Sri Lanka

et al. 2016

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Objectives To describe the outcomes of early percutaneous coronary intervention (PCI) for the treatment of acute ST elevation myocardial infarction (STEMI) in a tertiary care cardiac centre in Colombo, Sri Lanka.Methods Medical records of 139 consecutive patients presenting to Cardiology Unit 5, National Hospital of Sri Lanka from March 2013 to June 2014 with acute STEMI, and treated with early PCI as a mode of reperfusion were reviewed. These patients were then followed up for 6 months to determine survival, targetvessel revascularization, in-stent thrombosis and other major adverse cardiac events (MACE).Results Of 139 patients, 116 (83.5%) were male. Mean age was 52.3±SD11.1 years. Eighty eight (63.3%) patients underwent primary PCI and 51 (36.7%) underwent rescue PCI. There were six deaths (4.3%). One occurred on-table and three occurred after discharge. Four patients who died had cardiogenic shock. Mean door-to-balloon (DTB) time was 147 minutes for the primary PCI patients who were transferred from ETU. At six months, of 106 patients who attended follow up, two had been re-hospitalised for heart failure but none underwent coronary artery bypass grafting (CABG).Conclusions This report from the national tertiary care cardiology referral centre in Sri Lanka, found that the study population was relatively younger, similar to other Asian countries. There was high rate of initial success (98.6%) and good short-term survival (95.7%), particularly in the subset presenting without cardiogenic shock (98.4%) despite the long DTB time. Loss to follow up at 6 months in this centre was 23.7% (33 patients).

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Section: Discussionsupporting

confidence: 91%

Outcome of early coronary intervention for acute ST elevation myocardial infarction in a tertiary care cardiac centre in Sri Lanka

et al. 2016

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“…Drug eluting stents was used in 87% while only 7 patients received baremetal stents this was due to large culprit vessel and high bleeding risk. In hospital mortality was 5.1% comparable to international rates which showed in hospital mortality of 5.2% in second national registry of myocardial infarction (NRM-12) and 3% in ASSENT 4trial (18,19).…”

Section: Discussionsupporting

confidence: 61%

In hospital outcomes of primary percutaneous intervention in patients presenting with acute myocardial infarction in Saudi Arabia – A single center study

Bugami¹,

Niaz²,

Alabbadi³

et al. 2018

Curr Res Cardiol

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“…19 Most patients with cardiogenic shock do not undergo emergency revascularization, either because of the lack of facilities at the hospitals where they present or because of doubt as to its efficacy. 18,[20][21][22] If early revascularization reduces mortality, angioplasty or coronary-artery bypass graft surgery should be performed on an urgent basis, even if this requires transfer to a hospital with the necessary facilities and expertise.…”

Section: Discussionmentioning

confidence: 99%

Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock

et al. 1999

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Clinical Experience With Primary Percutaneous Transluminal Coronary Angioplasty Compared With Alteplase (Recombinant Tissue-Type Plasminogen Activator) in Patients With Acute Myocardial Infarction

Abstract: These findings suggest that in lytic-eligible patients not in shock, PTCA and rt-PA are comparable alternative methods of reperfusion when analyzed in terms of in-hospital mortality, mortality plus nonfatal stroke and reinfarction.

Cited by 183 publications

References 14 publications

Outcome of early coronary intervention for acute ST elevation myocardial infarction in a tertiary care cardiac centre in Sri Lanka

Outcome of early coronary intervention for acute ST elevation myocardial infarction in a tertiary care cardiac centre in Sri Lanka

In hospital outcomes of primary percutaneous intervention in patients presenting with acute myocardial infarction in Saudi Arabia – A single center study

Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock

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