Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Percutaneous coronary intervention for cardiogenic shock in the SHOCK Trial Registry
Autore:
Webb, JG; Sanborn, TA; Sleeper, LA; Carere, RG; Buller, CE; Slater, JN; Baran, KW; Koller, PT; Talley, JD; Porway, M; Hochman, JS;
Indirizzi:
St Pauls Hosp, Vancouver, BC V6Z 1Y6, Canada St Pauls Hosp Vancouver BC Canada V6Z 1Y6 , Vancouver, BC V6Z 1Y6, Canada Cornell Univ, Med Ctr, New York Hosp, New York, NY 10021 USA Cornell UnivNew York NY USA 10021 New York Hosp, New York, NY 10021 USA New England Res Inst, Watertown, MA 02172 USA New England Res Inst Watertown MA USA 02172 Inst, Watertown, MA 02172 USA Vancouver Gen Hosp, Vancouver, BC, Canada Vancouver Gen Hosp Vancouver BCCanada r Gen Hosp, Vancouver, BC, Canada Baystate Med Ctr, Springfield, MA USA Baystate Med Ctr Springfield MA USA aystate Med Ctr, Springfield, MA USA St Paul Heart Clin, St Paul, MN USA St Paul Heart Clin St Paul MN USASt Paul Heart Clin, St Paul, MN USA Univ Arkansas, Little Rock, AR 72204 USA Univ Arkansas Little Rock AR USA72204 rkansas, Little Rock, AR 72204 USA St Lukes Roosevelt Med Ctr, New York, NY USA St Lukes Roosevelt Med Ctr New York NY USA elt Med Ctr, New York, NY USA
Titolo Testata:
AMERICAN HEART JOURNAL
fascicolo: 6, volume: 141, anno: 2001,
pagine: 964 - 970
SICI:
0002-8703(200106)141:6<964:PCIFCS>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; LONG-TERM SURVIVAL; THROMBOLYTIC THERAPY; ANGIOPLASTY THERAPY; REPERFUSION THERAPY; MANAGEMENT; STENTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Webb, JG St Pauls Hosp, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada St Pauls Hosp 1081 Burrard St Vancouver BC Canada V6Z 1Y6 Canada
Citazione:
J.G. Webb et al., "Percutaneous coronary intervention for cardiogenic shock in the SHOCK Trial Registry", AM HEART J, 141(6), 2001, pp. 964-970

Abstract

Background The SHOCK Registry prospectively enrolled patients with cardiogenic shock complicating acute myocardial infarction in 36 multinational centers. Methods Cardiogenic shock was predominantly attributable to left ventricular pump failure in 884 patients. Of these, 276 underwent percutaneous coronary intervention (PCI) after shock onset and are the subject of this report. Results The majority (78%) of patients undergoing angiography had multivessel disease. As the number of diseased arteries rose from 1 to 3, mortalityrates rose from 34.2% to 51.2%. Patients who underwent PCI had lower in-hospital mortality rates than did patients treated medically (46.4% vs 78.0%,P < .001), even after adjustment for patient differences and survival bias(P = .037). Before PCI, the culprit artery was occluded (Thrombolysis In Myocardial Infarction grade 0 or 1 flow) in 76.3%. After PCI, the in-hospital mortality rate was 33.3% if reperfusion was complete (grade 3 flow), 50.0% with incomplete reperfusion (grade 2 flow), and 85.7% with absent reperfusion (grade 0 or 1 flow) (P < .001). Conclusions This prospective, multicenter registry of patients with acute myocardial infarction complicated by cardiogenic shock is consistent with areduction in mortality rates as the result of percutaneous coronary revascularization. Coronary artery potency was an important predictor of outcome. Measures to promote early and rapid reperfusion appear critically important in improving the otherwise poor outcome associated with cardiogenic shock.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 08:48:43