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Influence of previous myocardial infarction site on in-hospital outcome after primary percutaneous coronary intervention for repeat myocardial infarction.
- Source :
- Journal of Cardiology; Jan2010, Vol. 55 Issue 1, p77-83, 7p
- Publication Year :
- 2010
-
Abstract
- Summary: Background: Recurrent acute myocardial infarction (AMI) is a disastrous condition with high in-hospital morbidity and mortality. However, the relation between location of previous myocardial infarction (MI) and in-hospital outcome in repeat-AMI patients undergoing primary percutaneous coronary intervention (PCI) remains unclear. Methods and results: Using the AMI-Kyoto Multi-Center Risk Study database, clinical background, angiographic findings, results of primary PCI, and in-hospital prognosis were retrospectively compared between primary PCI-treated AMI patients with previous anterior MI (anterior group, n =151) and those with previous non-anterior MI (non-anterior group, n =157). Clinical backgrounds, angiographic findings, results of primary PCI, and in-hospital outcome did not differ significantly between the two groups. On multivariate analysis, Killip class ≥3 at admission, number of diseased vessels ≥2 or diseased left main trunk at initial coronary angiography, and age were the independent predictors of in-hospital mortality in the recurrent-AMI patients, but not the anterior location of previous MI. Conclusions: These results suggest that among recurrent-AMI patients undergoing primary PCI, in-hospital prognosis mostly depends on the severity of acute heart failure at the onset and the residual myocardial ischemia rather than previous MI sites. [Copyright &y& Elsevier]
- Subjects :
- HEART diseases
MYOCARDIAL infarction
NECROSIS
CARDIAC arrest
Subjects
Details
- Language :
- English
- ISSN :
- 09145087
- Volume :
- 55
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Journal of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 47153659
- Full Text :
- https://doi.org/10.1016/j.jjcc.2009.09.001