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Titolo:
EARLY EXPERIENCE OF PRIMARY ANGIOPLASTY AT WAIKATO-HOSPITAL
Autore:
NUNN C; MCALISTER H; FISHER R; DEVLIN G; FRIEDLANDER D; CHARLESON H;
Indirizzi:
WAIKATO HOSP,DEPT CARDIOL,PRIVATE BAG 3200 HAMILTON NEW ZEALAND
Titolo Testata:
New Zealand medical journal
fascicolo: 1041, volume: 110, anno: 1997,
pagine: 116 - 118
SICI:
0028-8446(1997)110:1041<116:EEOPAA>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; PRIMARY CORONARY ANGIOPLASTY; CATHETERIZATION LABORATORY EVENTS; THROMBOLYTIC THERAPY; INTRAVENOUS STREPTOKINASE; IMMEDIATE ANGIOPLASTY; TRIAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
C. Nunn et al., "EARLY EXPERIENCE OF PRIMARY ANGIOPLASTY AT WAIKATO-HOSPITAL", New Zealand medical journal, 110(1041), 1997, pp. 116-118

Abstract

Aim. Acute angioplasty for myocardial infarction without prior thrombolytic therapy (primary angioplasty) has been advocated as the preferred treatment for high risk infarct patients, however data is primarilyfrom highly experienced units. This report describes the first year'sexperience of primary angioplasty at Waikato Hospital which is a moderate sized institution performing 300 elective angioplasty procedures per year. Methods. Patients presenting with an acute infarction who were deemed to be either at high risk or who had a contraindication to streptokinase received primary angioplasty. The program operated 24 hours a day, 7 days a week with all procedural and clinical outcomes being prospectively recorded on a database. Results. Fifty one patients underwent primary angioplasty in the first year. Vessel patency was achieved in 86%, with TIMI III now present in 82%. Time from emergency room arrival to reperfusion averaged 95 minutes and median hospital length of stay was 5 days. Five (10%) patients died while in hospital: those in cardiogenic shock on presentation had a mortality of 33%, and theremainder 5%. Conclusions. These results suggest that primary angioplasty is logistically feasible in a moderate sized New Zealand hospitalwith clinical results similar to those reported by the large interventional centers in Europe and the USA.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 14:07:07