1. Coronary intervention for persistent occlusion after myocardial infarction
- Author
-
Hochman, Judith S., Reynolds, Harmony R., Abramsky, Staci J., Forman, Sandra, Lamas, Gervasio A., Buller, Christopher E., Dzavik, Vladimir, Ruzyllo, Witold, Maggioni, Aldo P., White, Harvey, and Sadowski, Zygmunt
- Subjects
Heart attack -- Case studies - Abstract
A randomized study observed 2166 stable patients, who had total occlusion of the infarct-related artery 3 to 28 days after myocardial infarction and who met a high-risk criterion, was conducted, where 1082 were assigned to routine percutaneous coronary intervention (PCI) and 1084 were assigned to optimal medical therapy alone. The findings suggest that PCI did not reduce the occurrence of death, reinfarction, or heart failure, and there was a trend toward excess reinfarction during 4 years of follow-up in stable patients with occlusion of the infarct-related artery 3 to 28 days after myocardial infarction.
- Published
- 2006