Predischarge exercise radionuclide angiography in predicting multivessel coronary artery disease and subsequent cardiac events after thrombolytic therapy for acute myocardial infarction

1994 ◽  
Vol 74 (6) ◽  
pp. 554-559 ◽  
Author(s):  
Wei-Xi Zhu ◽  
Raymond J. Gibbons ◽  
Kent R. Bailey ◽  
Bernard J. Gersh
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Thrombolytic Therapy ◽  
Radionuclide Angiography ◽  
Multivessel Coronary Artery Disease ◽  
Cardiac Events ◽  
Artery Disease

scholarly journals Impact of complete revascularization for acute myocardial infarction with multivessel coronary artery disease in diabetes mellitus patients

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J Kang ◽  
K.W Park ◽  
T.M Rhee ◽  
H.S Lee ◽  
Y.J Ki ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Clinical Outcomes ◽  
Multivessel Disease ◽  
Complete Revascularization ◽  
Multivessel Coronary Artery Disease ◽  
Artery Disease

Abstract Background Clinical benefits of complete revascularization (CR) in acute myocardial infarction (AMI) patients are unclear. Moreover, the benefit of CR is unknown in AMI with Diabetes Mellitus (DM) patient. Objectives We sought to compare prognosis of CR and incomplete revascularization (IR) in patients with AMI and multivessel disease, according to the presence of DM. Methods A total of 2,150 AMI patients with multivessel coronary artery disease were analyzed. CR was defined based on angiographic image. The primary endpoints of this study was patient oriented composite outcome (POCO) defined as a composite of all cause death, any myocardial infarction, and any revascularization within 3 years. Results Overall, 3-year POCO were significantly lower in patients receiving angiographic CR (985 patients, 45.8%) compared with IR (1165 patients, 54.2%). When divided into subgroups according to the presence of DM, CR reduced 3-year clinical outcomes in the non-DM group but not in the DM group (POCO: 11.7% vs. 23.2%, p<0.001, any revascularization: 7.2% vs. 10.8%, p=0.024 in the non-DM group, POCO: 24.3% vs. 27.8%, p=0.295, any revascularization: 13.3% vs. 11.3%, p=0.448 in the DM group, for CR vs. IR). Multivariate analysis showed that CR significantly reduced 3-year POCO (HR 0.52, 95% CI 0.38–0.71) only in the non-DM group. Conclusion In AMI patients with multivessel disease, CR may be ineffective in improving clinical outcomes in patients with DM. Funding Acknowledgement Type of funding source: None

scholarly journals THE IMPACT OF MULTIVESSEL CORONARY ARTERY DISEASE IN ACUTE MYOCARDIAL INFARCTION COMPLICATED BY CARDIOGENIC SHOCK

2012 ◽  
Vol 59 (13) ◽  
pp. E17
Author(s):  
Darren Mylotte ◽  
Thierry Lefevre ◽  
Hélène Eltchaninoff ◽  
Nicolas Briole ◽  
Karim Tazarourte ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Multivessel Coronary Artery Disease ◽  
Artery Disease ◽  
The Impact
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