Effectiveness of primary angioplasty for acute myocardial infarction in patients on dialysis

We sought to characterize the outcome in patients who were on long-term dialysis and who underwent primary percutaneous trnasluminal coronary angioplasty (PTCA) for acute myocardial infarction. Of 2,831 consecutive patients who underwent primary PTCA for acute myocardial infarction from 1993 to 2001...

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Bibliographic Details
Published in:The American journal of cardiology 2004-02, Vol.93 (4), p.468-470
Main Authors: West, Andrew J., Dixon, Simon R., Kahn, Joel K., Levin, Robert N., O'Neill, William W., Grines, Cindy L., Berman, Aaron D.
Format: Article
Language:English
Subjects:
Aged
Analysis
Angioplasty
Angioplasty, Balloon, Coronary
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Coronary heart disease
Female
Heart
Hemodialysis
Humans
Incidence
Male
Medical sciences
Middle Aged
Mortality
Myocardial Infarction - complications
Myocardial Infarction - therapy
Myocarditis. Cardiomyopathies
Renal Dialysis
Shock, Cardiogenic - complications
Shock, Cardiogenic - epidemiology
Treatment Outcome
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Summary:We sought to characterize the outcome in patients who were on long-term dialysis and who underwent primary percutaneous trnasluminal coronary angioplasty (PTCA) for acute myocardial infarction. Of 2,831 consecutive patients who underwent primary PTCA for acute myocardial infarction from 1993 to 2001, 15 patients on long-term dialysis were identified. This small cohort had a 40% incidence of cardiogenic shock on admission. Despite the angiographic success rate for primary PTCA of 80%, in-hospital mortality was 53%.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2003.10.046