Surgical revascularization after fibrinolysis in acute myocardial infarction

Nicolau, José Carlos; Ardito, Roberto Vito; Garzon, S.A.C.; Pinto, Maria Auxiliadora Ferraz Vieira; Nogueira, Paulo Roberto; Lorga, Adalberto Menezes; Jacob, J L

doi:10.1016/s0022-5223(12)70147-2

Cited by 7 publications

(2 citation statements)

References 21 publications

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“…Desta forma, a indicação da RM na fase aguda do IAM continua sendo tema controverso, com base em observações clínicas (3,16) , sem que haja consenso sobre seus riscos e benefícios, bem como sobre o momento ideal de sua indicação (1)(2)(3) . Sabese que quando realizada de maneira emergencial, está associada a maior mortalidade, que varia de 4 a 32% (17)(18)(19) .…”

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Fatores prognósticos da revascularização na fase aguda do infarto agudo do miocárdio

Jatene¹,

Nicolau²,

Hueb³

et al. 2001

Rev Bras Cir Cardiovasc

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Fatores prognósticos da revascularização na fase aguda do infarto agudo do miocárdio

Jatene¹,

Nicolau²,

Hueb³

et al. 2001

Rev Bras Cir Cardiovasc

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“… 13 Likely reasons for this include practitioner concerns about the increased risk of complications, 14 patient heterogeneity, atypical presentation, and limited representation in clinical trials. 15 However, very few published studies have addressed the impact of IT on long-term outcome after MI, 16 ; 17 with no data, to our knowledge 14 ; 15 , specifically addressing the case of elderly patients. Therefore, the main objective of this study was to analyze, in patients with acute myocardial infarction, the impact of IT on long-term outcome, with a special focus on the elderly.…”

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confidence: 99%

The Role of Invasive Therapies in Elderly Patients with Acute Myocardial Infarction

Nicolau

Lemos

Wajngarten

et al. 2009

Clinics

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INTRODUCTION:In elderly patients with acute myocardial infarction, very little is known about the role of surgical myocardial revascularization and percutaneous coronary intervention (invasive therapies - IT), especially in the context of long-term outcomes after hospital discharge.METHODS:We analyzed 1588 patients with MI who had been included prospectively in a databank and followed for up to 7.5 years. In this population, 548 patients were ≥70 years old (elderly group - EG), and 1040 were <70 years of age (younger group - YG); 1088 underwent IT during hospitalization, and the remaining 500 were treated medically (conservative therapy - CT). Patients were monitored either by visit or by phone at least once a year. A standard questionnaire was administered to all patients. The impact of IT was analyzed with both non-adjusted and adjusted models.RESULTS:By the end of the follow-up period, the survival rates for the IT and CT groups were, respectively, 71.9% versus 47.2% in the global population (hazard ratio=0.55, P<0.001), 81.5% versus 66.6% in the YG (hazard ratio=0.68, P=0.018) and 48.8% versus 20.3% in the EG (hazard ratio=0.58, P<0.001). In the adjusted models, the hazard ratios were 0.62 (P<0.001) in the global population, 0.74 in the YG (P=0.073) and 0.64 (P=0.001) in the EG.CONCLUSION:Long-term follow-up of patients with myocardial infarction revealed that IT during the in-hospital phase was at least as effective in elderly patients as in younger patients.

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Coronary artery bypass grafting within 30 days of an acute myocardial infarction

Kaul

Fields

Riggins

et al. 1995

The Annals of Thoracic Surgery

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Surgical revascularization after fibrinolysis in acute myocardial infarction

Cited by 7 publications

References 21 publications

Fatores prognósticos da revascularização na fase aguda do infarto agudo do miocárdio

Fatores prognósticos da revascularização na fase aguda do infarto agudo do miocárdio

The Role of Invasive Therapies in Elderly Patients with Acute Myocardial Infarction

Coronary artery bypass grafting within 30 days of an acute myocardial infarction

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