Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Aspirin and percutaneous coronary angioplasty are associated with a decline in mortality from cardiogenic shock - Results from a National Israeli Survey, 1992-1998
Autore:
Barbash, IM; Battler, A; Behar, S; Boyko, V; Gottlieb, S; Hasdai, D; Leor, J;
Indirizzi:
Chaim Sheba Med Ctr, Neufeld Cardiac Res Inst, IL-52621 Tel Hashomer, Israel Chaim Sheba Med Ctr Tel Hashomer Israel IL-52621 21 Tel Hashomer, Israel Ben Gurion Univ Negev, Fac Hlth Sci, Soroka Med Ctr, Dept Cardiol, IL-84105 Beer Sheva, Israel Ben Gurion Univ Negev Beer Sheva Israel IL-84105 4105 Beer Sheva, Israel Rabin Med Ctr, Dept Cardiol, Petah Tiqwa, Israel Rabin Med Ctr Petah Tiqwa Israel Ctr, Dept Cardiol, Petah Tiqwa, Israel
Titolo Testata:
CARDIOLOGY
fascicolo: 3, volume: 95, anno: 2001,
pagine: 119 - 125
SICI:
0008-6312(2001)95:3<119:AAPCAA>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MYOCARDIAL-INFARCTION; EARLY REVASCULARIZATION; TRENDS; TRIAL;
Keywords:
angioplasty; cardiogenic shock; heart failure; myocardial infarction; transluminal percutaneous coronary angioplasty;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Leor, J Chaim Sheba Med Ctr, Neufeld Cardiac Res Inst, IL-52621 Tel Hashomer, Israel Chaim Sheba Med Ctr Tel Hashomer Israel IL-52621 ashomer, Israel
Citazione:
I.M. Barbash et al., "Aspirin and percutaneous coronary angioplasty are associated with a decline in mortality from cardiogenic shock - Results from a National Israeli Survey, 1992-1998", CARDIOLOGY, 95(3), 2001, pp. 119-125

Abstract

Background and Methods: Despite the significant progress in the care and outcome of patients with acute myocardial infarction (AMI), the impact of evolving therapies on the incidence and outcome of patients with cardiogenic shock complicating AMI has been questioned. We analyzed trends in the incidence, care and outcome of cardiogenic shock from four national surveys conducted during 1992-1998. Results: Of the 5,351 AMI patients admitted to all coronary care units in Israel, 254 (4.7%) developed cardiogenic shock. The incidence of cardiogenic shock decreased over time (5.8, 5.1, 4.3 and 4.4% for the years 1992, 1994, 1996 and 1998, respectively, p = 0.08). Concomitantly, there was an increase in utilization of coronary angiography, urgent angioplasty and intra-aortic balloon counterpulsation. In addition, there was an increase in hospital use of aspirin, nitrates, ACE inhibitors and P-blockers. Patients with shock were more likely to die within 7 days comparedwith AM] patients not having shock (65 vs. 4%; p < 0.001). During the study period, the mortality of patients with shock decreased: at 7 days (72% in1992 to 60% in 1998; p = 0.09), at 30 days (87 to 70%, respectively; p = 0.01) and at 6 months (89 to 77%, respectively; p = 0.02). Both aspirin and angioplasty were independently associated with improved outcome after adjustment for baseline characteristics and study period. Conclusions: Although the mortality rate of cardiogenic shock complicating AMI remains high, the increased utilization of aspirin and angioplasty is associated with improved outcome. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 01:21:42