EARLY AND 1-YEAR SURVIVAL RATES IN ACUTE MYOCARDIAL-INFARCTION COMPLICATED BY CARDIOGENIC-SHOCK - A RETROSPECTIVE STUDY COMPARING CORONARY ANGIOPLASTY WITH MEDICAL-TREATMENT

被引：42

作者：

ELTCHANINOFF, H ^{[1
]}

SIMPFENDORFER, C ^{[1
]}

FRANCO, I ^{[1
]}

RAYMOND, RE ^{[1
]}

CASALE, PN ^{[1
]}

WHITLOW, PL ^{[1
]}

机构：

[1] CLEVELAND CLIN FDN,CLEVELAND,OH 44195

来源：

AMERICAN HEART JOURNAL | 1995年 / 130卷 / 03期

关键词：

D O I：

10.1016/0002-8703(95)90352-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiogenic shock remains a frequently lethal complication of acute myocardial infarction. Early revascularization of the infarct-related artery by coronary. angioplasty has been suggested to significantly improve patient survival. In-hospital and 1-year survival was assessed in 50 patients hospitalized for acute myocardial infarction complicated by cardiogenic shock. All patients received medical treatment and intraaortic balloon pump support. Thirty-three patients underwent coronary angioplasty (PTCA group), while 17 patients remained on conventional therapy (no PTCA group), The two groups were comparable for all baseline characteristics. Survival was significantly better in the PTCA group than in the no PTCA group: 64% versus 24% in-hospital survival (p=0.007) and 52% versus 12% at 1 year (p=0.006). When angioplasty was successful in achieving reperfusion, survival was further enhanced: in-hospital survival rate was 76% versus 25% in patients with unsuccessful angioplasty and 60% versus 25% at 1 year.

引用

页码：459 / 464

页数：6

共 33 条

[1] PATHOPHYSIOLOGY OF CARDIOGENIC-SHOCK - QUANTIFICATION OF MYOCARDIAL NECROSIS, CLINICAL, PATHOLOGIC AND ELECTROCARDIOGRAPHIC CORRELATIONS [J].