Coronary intervention for persistent occlusion after myocardial infarction

Article Abstract:

A randomized study observed 2166 stable patients, who had total occlusion of the infarct-related artery 3 to 28 days after myocardial infarction and who met a high-risk criterion, was conducted, where 1082 were assigned to routine percutaneous coronary intervention (PCI) and 1084 were assigned to optimal medical therapy alone. The findings suggest that PCI did not reduce the occurrence of death, reinfarction, or heart failure, and there was a trend toward excess reinfarction during 4 years of follow-up in stable patients with occlusion of the infarct-related artery 3 to 28 days after myocardial infarction.

Case studies, Case study

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Early revascularization in acute myocardial infarction complicated by cardiogenic shock

Article Abstract:

Patients who develop cardiogenic shock after a heart attack may benefit from procedures that open up clogged coronary arteries. Cardiogenic shock is the most common cause of death in patients who have a heart attack. Researchers randomly assigned 302 heart attack patients to receive regular medical care or emergency angioplasty or coronary artery bypass. Although 30-day mortality rates did not differ between the two groups, six-month mortality rates were lower in the group that received emergency angioplasty or coronary artery bypass.

Statistical Data Included, Evaluation, Coronary artery bypass, Transluminal angioplasty, Balloon angioplasty

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One-Year Survival Following Early Revascularization for Cardiogenic Shock: For The SHOCK Investigators

Article Abstract:

Prompt revascularization using angioplasty or coronary bypass surgery can improve the prognosis of heart attack patients who develop cardiogenic shock, according to a study of 302 patients. Cardiogenic shock is a major cause of death in heart attack patients. Revascularization is the medical term for any procedure that opens blocked coronary arteries.

Health aspects, Myocardial revascularization

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