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| Publications [#197966] of Daniel B. Mark
Papers Published
- CA Simonton, DB Mark, T Hinohara, DS Rendall, HR Phillips, RH Peter, VS Behar, Y Kong, WG O'Callaghan, C O'Connor, Late restenosis after emergent coronary angioplasty for acute myocardial infarction: comparison with elective coronary angioplasty.,
Journal of the American College of Cardiology, vol. 11 no. 4
(April, 1988),
pp. 698-705, ISSN 0735-1097
(last updated on 2011/11/29)
Abstract:
The late restenosis rate after emergent percutaneous transluminal coronary angioplasty for acute myocardial infarction was assessed by performing outpatient follow-up cardiac catheterization in 79 (87%) of 91 consecutive patients who had been discharged from the hospital with a successful coronary angioplasty. The majority of patients (90%) received high dose intravenous thrombolytic therapy with streptokinase in addition to angioplasty. Similar follow-up data were obtained in 206 (90%) of 228 consecutive patients who had successful elective angioplasty during the same period. The interval from angioplasty to follow-up was 28 +/- 9 weeks for the myocardial infarction group and 30 +/- 11 weeks for the elective group. Baseline clinical variables were similar for both the myocardial infarction and elective groups except for a higher percentage of men in the infarction group (81 versus 63%, p = 0.001). The number of coronary lesions undergoing angioplasty and the incidence of intimal dissection were similar, but multivessel angioplasty was more common in the elective group (13 versus 4%, p = 0.02). The rate of in-hospital reocclusion was higher in the patients receiving angioplasty for myocardial infarction (13 versus 2%, p = 0.0001). At the time of late follow-up after hospital discharge, the patients with myocardial infarction were more often asymptomatic (79 versus 55%, p = 0.0001), and the rate of angiographic coronary restenosis was lower for the infarction group both overall (19 versus 35%, p = 0.006) and when multivessel angioplasty patients were excluded (19 versus 33%, p = 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
Keywords:
Aged • Angioplasty, Balloon* • Coronary Angiography • Emergencies • Female • Follow-Up Studies • Humans • Male • Middle Aged • Myocardial Infarction • Recurrence • Streptokinase • Tissue Plasminogen Activator • radiography • therapeutic use • therapy*
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