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[Primary angioplasty in acute myocardial infarction. A one-year experience in a small urban community].

Abstract
The aim of this study was to assess the feasibility, safety and efficacy of primary angioplasty in acute myocardial infarction in a cardiology centre of a small urban community without on-site cardiac surgery. During 1995, 50 patients underwent angioplasty for MI in the first 12 hours. The average age was 66.7 +/- 12.6 years. Eighty six per cent of patients had at least one poor prognostic criteria (32% over 75 years of age, 70% anterior wall infarcts, 30% with heart rates > 100 min on admission). The angiographic result was successful in 45 patients (90%). The time between onset of pain and reopening the vessel was 240 +/- 116 min and between admission to the catheter laboratory and reopening 31 +/- 8 min. A coronary stent was implanted in 24 cases (48%) and intra-aortic balloon pumping was necessary in 14 cases (28%). Ischaemia recurred during the hospital phase in 7 cases (14%), 4 of which (8%) were caused by rethrombosis of the dilated artery: in 3 cases, the ischaemia was in another zone. No emergency coronary bypass surgery was required. The hospital mortality was 10%, always in patients over 80 years of age. The average duration of the hospital stay was 5.8 +/- 2.6 days with 15.7 +/- 7.3 days of convalescence. The average global cost was 61850 +/- 20686 F. These results were comparable to previously reported figures and confirm that primary angioplasty in acute infarction is possible and effective with an acceptable risk in a small urban community without on-site cardiac surgery.
AuthorsB Moquet, R G Huguet, G Cami, P Linassier, M P Decomis, P Guille des Buttes, M Goralski, P Lepifre, C Pigale, M Placente
JournalArchives des maladies du coeur et des vaisseaux (Arch Mal Coeur Vaiss) Vol. 90 Issue 1 Pg. 11-5 (Jan 1997) ISSN: 0003-9683 [Print] France
Vernacular TitleAngioplastie primaire à la phase aiguë de l'infarctus du myocarde. Expérience d'une année d'activité dans une ville de moyenne importance.
PMID9137710 (Publication Type: English Abstract, Journal Article, Review)
Topics
  • Aged
  • Aged, 80 and over
  • Angioplasty, Balloon, Coronary (economics, methods, mortality)
  • Costs and Cost Analysis
  • Feasibility Studies
  • Female
  • France
  • Hospital Mortality
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction (complications, mortality, therapy)
  • Patient Selection
  • Retrospective Studies
  • Thrombolytic Therapy
  • Time Factors
  • Treatment Outcome
  • Urban Population

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