Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:dateCreated |
1990-4-26
|
| pubmed:abstractText |
Between September 1977 and September 1981, 1587 consecutive patients underwent a first coronary angioplasty (PTCA) at 16 clinical centres. After excluding patients with prior coronary bypass surgery (CABG) and left main or minimal vessel disease, 1390 were available for in-hospital and long-term follow-up. Mean duration of follow-up was 5.9 years (range 0-9.0 years). PTCA was successful (all attempted lesions reduced greater than or equal to 20%) in 882 patients (63.4%) and, overall, 624 patients (44.9%) had complete (COREV) and 766 (55.1%) incomplete (INCOREV) revascularization or a failed PtCA. In-hospital events included death in 0.7%, myocardial infarction (MI) in 5.0% and CABG in 24.0% of patients. Patients with COREV had significantly lower rates of these events than the INCOREV group. At 6 years, mortality in all registry patients was 6.5% and MI rate 15.0%; CABG was performed after the initial hospitalization in 15.5% of patients and repeat PTCA in 19.1%. All events, except repeated PTCA, were less frequent in the COREV than the INCOREV group. Among patients with a successful first PTCA, cumulative 6-year mortality was 5.8% and incidence of MI 10.8%; 16.9% underwent CABG and 24.7% repeat PTCA during follow-up. CABG was slightly more frequent in INCOREV than COREV patients with successful PTCA, but all other events were similar in the two groups, suggesting that INCOREV 'by intent' has a good prognosis. In patients with INCOREV, mortality and incidence of MI were higher during follow-up for patients with multivessel rather than single vessel disease. However, the incidence of CABG and repeat PTCA was similar in the two groups.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0195-668X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
10 Suppl G
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
36-41
|
| pubmed:dateRevised |
2010-11-18
|
| pubmed:meshHeading |
pubmed-meshheading:2627947-Aged,
pubmed-meshheading:2627947-Angioplasty, Balloon, Coronary,
pubmed-meshheading:2627947-Coronary Disease,
pubmed-meshheading:2627947-Female,
pubmed-meshheading:2627947-Follow-Up Studies,
pubmed-meshheading:2627947-Humans,
pubmed-meshheading:2627947-Male,
pubmed-meshheading:2627947-Middle Aged,
pubmed-meshheading:2627947-National Institutes of Health (U.S.),
pubmed-meshheading:2627947-Prospective Studies,
pubmed-meshheading:2627947-Recurrence,
pubmed-meshheading:2627947-Registries,
pubmed-meshheading:2627947-Retrospective Studies,
pubmed-meshheading:2627947-Risk Factors,
pubmed-meshheading:2627947-United States
|
| pubmed:year |
1989
|
| pubmed:articleTitle |
Long-term follow-up of coronary angioplasty: the 1977-1981 National Heart, Lung, and Blood Institute registry.
|
| pubmed:affiliation |
Department of Medicine, Montreal Heart Institute, Quebec, Canada.
|
| pubmed:publicationType |
Journal Article
|