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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1989-5-2
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pubmed:abstractText |
We report the results of percutaneous transluminal coronary angioplasty (PTCA) in 67 consecutive patients with unstable angina. Twenty patients had new onset (less than 2 months) angina, 33 patients had crescendo angina and 14 had early postinfarction angina. Fifty-one patients had one-vessel disease, 12 patients had two-vessel disease and two patients had three-vessel disease; two patients had a stenosis of a venous graft. In cases with multivessel disease, we performed only the dilatation of the ischaemia-related vessel identified by morphologic features of coronary lesion and electrocardiographic changes during chest pain. The procedure was successful in 54 cases (80.6%). Seven patients (10.4%) had major complications. Emergency coronary artery bypass graft surgery was performed in 6 cases (8.9%) because of occlusion of the left anterior descending artery; despite emergency operation one patient died and two patients sustained a myocardial infarction. One patient had occlusion of the right coronary artery and inferior myocardial infarction. In all patients in whom angioplasty was successful unstable angina disappeared. At 6 months follow-up there were no infarctions or deaths but 14 of 42 patients (33%) had recurrent angina. Restenosis occurred in 16 of 33 patients (48%) who had repeat coronary angiography. Four patients with recurrence of unstable angina had repeat angioplasty; it was successful in 3 cases. One patient died of refractory cardiac arrest. The mortality rate of 71 procedures performed in 67 patients was 2.8% (2/71) and the overall myocardial infarction rate was 4.2% (3/71).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0046-5968
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
731-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2976693-Adult,
pubmed-meshheading:2976693-Aged,
pubmed-meshheading:2976693-Angina, Unstable,
pubmed-meshheading:2976693-Angina Pectoris,
pubmed-meshheading:2976693-Angioplasty, Balloon,
pubmed-meshheading:2976693-Coronary Vessels,
pubmed-meshheading:2976693-Evaluation Studies as Topic,
pubmed-meshheading:2976693-Female,
pubmed-meshheading:2976693-Humans,
pubmed-meshheading:2976693-Male,
pubmed-meshheading:2976693-Middle Aged,
pubmed-meshheading:2976693-Recurrence,
pubmed-meshheading:2976693-Time Factors
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pubmed:year |
1988
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pubmed:articleTitle |
[Coronary angioplasty in unstable angina. Immediate and short-term results].
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pubmed:affiliation |
Università degli Studi di Padova, Servizio di Emodinamica.
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pubmed:publicationType |
Journal Article,
English Abstract
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