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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-7-30
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pubmed:abstractText |
Six-year follow-up was conducted in a consecutive series of 192 patients receiving thrombolytic therapy for acute myocardial infarction (AMI) with ST-segment elevation. Cardiac catheterization was performed within a day, and patients with an open infarct artery routinely had early revascularization: 99 (67%) underwent coronary bypass surgery and 18 (12%) coronary angioplasty. With this treatment strategy, 6-year cardiac mortality was 14.5%, 6% (12 patients) in hospital and 9% (16 patients) for survivors of hospitalization. Multivariate analysis showed that predictors of cardiac death among survivors of hospitalization were a closed infarct artery at catheterization (p less than 0.01), diabetes (p less than 0.01) and anterior myocardial infarction (p = 0.01). A subset of 146 patients underwent radionuclide angiography before hospital discharge; for them, predictors of mortality were a closed infarct artery at catheterization (p less than 0.01), anterior wall AMI (p = 0.02), and Killip class III to IV on admission (p less than 0.06). Left ventricular ejection fraction was not a significant predictor of mortality for this subset of patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
70
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
26-30
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:1615865-Aged,
pubmed-meshheading:1615865-Analysis of Variance,
pubmed-meshheading:1615865-Angioplasty, Balloon, Coronary,
pubmed-meshheading:1615865-Coronary Artery Bypass,
pubmed-meshheading:1615865-Female,
pubmed-meshheading:1615865-Follow-Up Studies,
pubmed-meshheading:1615865-Heart Catheterization,
pubmed-meshheading:1615865-Humans,
pubmed-meshheading:1615865-Male,
pubmed-meshheading:1615865-Middle Aged,
pubmed-meshheading:1615865-Myocardial Infarction,
pubmed-meshheading:1615865-Regression Analysis,
pubmed-meshheading:1615865-Survival Analysis,
pubmed-meshheading:1615865-Thrombolytic Therapy
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pubmed:year |
1992
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pubmed:articleTitle |
Six-year survival after coronary thrombolysis and early revascularization for acute myocardial infarction.
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pubmed:affiliation |
Prairie Cardiovascular Center, Springfield, Illinois.
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pubmed:publicationType |
Journal Article
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