Angiographic and clinical outcomes associated with direct versus conventional stenting among patients treated with fibrinolytic therapy for ST-elevation acute myocardial infarction

被引：19

作者：

Ly, HQ

Kirtane, AJ

Buros, J

Giugliano, RP

Popma, JJ

Antman, EM

Harrington, RA

Ohman, EM

Gibson, CM

机构：

[1] Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Dept Med, Boston, MA USA

[3] Duke Clin Res Inst, Dept Med, Durham, NC USA

[4] Univ N Carolina, Dept Med, Charlotte, NC 28223 USA

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2005年 / 95卷 / 03期

关键词：

D O I：

10.1016/j.amjcard.2004.09.038

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The present study reports outcomes of direct stenting versus conventional stenting, which was performed during adjunctive/rescue percutaneous coronary intervention (n = 556) in the Integrilin and Tenecteplase in Acute Myocardial Infarction trial, the Enoxaparin as Adjunctive Antithrombin Therapy for ST-Elevation Myocardial Infarction-Thrombolysis in Myocardial Infarction 23 trial, and the Fibrinolytic and Aggrastat ST-Elevation Resolution trial of fibrinolytic therapy in ST-elevation myocardial infarction. Direct stenting was associated with a lower rate of death, myocardial infarction, or congestive heart failure during hospitalization and at 30 days and was independently associated with improved in-hospital outcomes (odds ratio 0.44, 95% confidence interval 0.23 to 0.85, p = 0.014). (C)2005 by Excerpta Medica Inc.

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收藏

页码：383 / 386

页数：4

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