Percutaneous transluminal coronary angioplasty for unstable angina

Feyter, Pim J. de; Serruys, Patrick W.; Brand, Marcel van den; Hugenholtz, Paul G.

doi:10.1016/0002-9149(91)90395-2

Cited by 38 publications

(7 citation statements)

References 117 publications

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“…In an epidemiological study, Hagman et al [23] found that 60% of patients who had undergone myocardial infarction reported post-infarctional angina pectoris. Angina pectoris still persists in approximately 27% of patients after 'successful' PTCA for unstable angina [33]. Although the ACC/AHA Task Force Report on guidelines and indications for coronary artery bypass grafting states that the probability of freedom from the first return of angina after CABG is 95% at 1 year after the operation [34], Mayou & Bryant noted atypical chest pain in 25% of patients 1 year after surgery in a study of QL after CABG [13].…”

Section: Discussionmentioning

confidence: 99%

Quality of life in patients with ischaemic heart disease: a prospective controlled study

Westin¹,

Carlsson²,

Israelsson³

et al. 1997

Journal of Internal Medicine

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Abstract. Westin L, Carlsson R, Israelsson B, Willenheimer R, Cline C, McNeil TF (University of Lund, University Hospital, Malmö, Sweden). Quality of life in patients with ischaemic heart disease: a prospective controlled study. J Intern Med 1997; 242: 239-47.Objectives. To assess quality of life in patients after acute myocardial infarction (AMI), coronary artery by-pass grafting surgery (CABG) and percutaneous transluminal coronary angioplasty (PTCA) as compared with healthy controls. Design. Self-administered questionnaires were completed 1 month and 1 year after the event. Setting. Department of Cardiology, University Hospital, Malmö, Sweden; 1989. Subjects. 296 AMI, 99 CABG, 18 PTCA patients and 88 randomly selected healthy controls were included; 349 patients completed the entire programme. Main outcome measures. Quality of life in the dimensions of perceived general health, thoracic pain, breathlessness, feeling of arrhythmia, anxiety, depression, self-esteem, experience of social life and sex life.Results. Patients differed from controls in both psychological and somatic aspects of QL after 1 month. Furthermore, 1 month after the event AMI patients experienced more anxiety (P ϭ 0.001) than CABG patients, whilst CABG patients experienced a poorer sex life (P Ͻ 0.001) than AMI patients. One year after the event patients differed from controls primarily in somatic symptoms; no significant differences were found across patient groups. Patients who sought emergency out-patient care during the follow-up year for clinically diagnosed angina pectoris or cardiac incompensation had reported higher levels of thoracic pain (P Ͻ 0.001) and breathlessness (P Ͻ 0.001) at 1 month follow-up than patients who did not seek such care. Conclusions. Quality of life is considerably affected in patients following a cardiac event, especially during the initial recovery phase. Although substantial improvement in quality of life occurs over time, the persistence of residual distress at 1-year follow-up is a challenge for clinicians concerned with the full rehabilitation of the cardiac patient.

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Section: Discussionmentioning

confidence: 99%

Quality of life in patients with ischaemic heart disease: a prospective controlled study

Westin¹,

Carlsson²,

Israelsson³

et al. 1997

Journal of Internal Medicine

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“…Previous studies have reported a similar technical success rate of PTCA in unstable angina as compared to stable angina [9][10][11]. However, the incidence of periprocedural complications is higher in patients with unstable angina [12,13].…”

Section: Discussionmentioning

confidence: 91%

Multiple coronary stenting in unstable angina: Early and late clinical outcomes

Chauhan

Ricci

et al. 1998

Cathet. Cardiovasc. Diagn.

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“…In the early days of percutaneous transluminal coronary angio-plasty (PTCA), now referred to as percutaneous coronary intervention (PCI), 'hot' patients appeared to fare less well with our efforts [9]. A period of 'cooling off' was therefore recommended by many prior to PCI [9]. This period was in no way tantamount to benign neglect.…”

Section: What Is 'Cooling Off?'mentioning

confidence: 99%

“…Although subject to considerable bias as a consequence of their retrospective nature, several studies did suggest that a period of 'stabilization' resulted in improved clinical outcomes [9]. Given the presence of angiographically evident thrombus within the culprit vessel in such patients, algorithms were developed that included an extended period of anticoagulation prior to PCI.…”

Section: The Pastmentioning

confidence: 99%

Debate: When should we intervene in unstable angina - Time for an old look?

Laskey

2000

Trials

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Current treatment modalities for patients with acute coronary syndromes center on early diagnosis, risk stratification and, increasingly, early treatment including invasive approaches. The appropriate timing of these invasive modalities in the context of the overall treatment program remains an area of controversy. Specifically, studies in the past recommended a period of medical 'stabilization' while current approaches are considerably more aggressive. The potential hazard of early intervention, in particular, has not properly been weighed against the benefit. This article hopes to provide a framework for examining the appropriate timing of intervention, specifically percutaneous coronary intervention, in acute coronary syndromes.

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Percutaneous transluminal coronary angioplasty for unstable angina

Cited by 38 publications

References 117 publications

Quality of life in patients with ischaemic heart disease: a prospective controlled study

Quality of life in patients with ischaemic heart disease: a prospective controlled study

Multiple coronary stenting in unstable angina: Early and late clinical outcomes

Debate: When should we intervene in unstable angina - Time for an old look?

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