Outcomes of primary stenting for acute myocardial infarction.

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dc.contributor.authorKaul, Uen_US
dc.contributor.authorSingh, Ben_US
dc.contributor.authorSudan, Den_US
dc.contributor.authorSapra, Ren_US
dc.contributor.authorMittal, Ben_US
dc.contributor.authorDev Yadav, Ren_US
dc.contributor.authorGhose, Ten_US
dc.contributor.authorDixit, N Sen_US
dc.date.accessioned1998-07-03en_US
dc.date.accessioned2009-05-27T04:22:35Z
dc.date.available1998-07-03en_US
dc.date.available2009-05-27T04:22:35Z
dc.date.issued1998-07-03en_US
dc.description.abstractPrimary coronary stenting is being increasingly used in patients undergoing primary coronary angioplasty for acute myocardial infarction. In this prospective study we analysed our experience of direct angioplasty in 76 patients with acute myocardial infarction of whom 65 received intracoronary stents using high pressure deployment (> or = 12 atm) with adjunctive aspirin and ticlopidine therapy but without coumadin. All patients underwent pre-discharge angiography. Stent implantation was successful in all patients. Stent thrombosis was not seen in any patient. However, TIMI grade 3 flow was obtained in only 58 (89.2%) patients with evidence of slow-flow present in the remaining seven patients. Pre-discharge angiograms showed no-stent thrombosis but five out of the seven (71%) patients with slow-flow phenomenon persisted to have slow-flow. These patients had lower left ventricular ejection fraction as compared to patients with TIMI 3 flow at pre-discharge angiography (27.5 +/- 10.2% vs 42.1 +/- 15.2%; p < 0.001) and a high mortality (2 out of 7) within 30 days. Primary stenting is safe and feasible in the majority of patients with good short-term outcome. But persistent slow-flow phenomenon with adverse clinical outcome is seen in a small but significant number of patients.en_US
dc.description.affiliationDepartment of Interventional Cardiology, Batra Heart Centre, Batra Hospital, New Delhi.en_US
dc.identifier.citationKaul U, Singh B, Sudan D, Sapra R, Mittal B, Dev Yadav R, Ghose T, Dixit NS. Outcomes of primary stenting for acute myocardial infarction. Indian Heart Journal. 1998 Jul-Aug; 50(4): 402-8en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/4315
dc.language.isoengen_US
dc.source.urihttps://indianheartjournal.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAngioplasty, Transluminal, Percutaneous Coronary --instrumentationen_US
dc.subject.meshCoronary Angiographyen_US
dc.subject.meshCoronary Circulationen_US
dc.subject.meshCritical Care --methodsen_US
dc.subject.meshEmergency Service, Hospitalen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMyocardial Infarction --radiographyen_US
dc.subject.meshPrognosisen_US
dc.subject.meshRegional Blood Flowen_US
dc.subject.meshStentsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshVascular Patencyen_US
dc.titleOutcomes of primary stenting for acute myocardial infarction.en_US
dc.typeClinical Trialen_US
dc.typeJournal Articleen_US
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