Copyright © 1988 by the European Society of Cardiology.
© 1988 The European Society of Cardiology
Success and complication rates of coronary angioplasty in patients with and without previous myocardial infarction
Queen Elizabeth Hospital, Edgbaston Birmingham, U.K.
Received 28 July 1986; revised 20 July 1987; .
address for correspondence: Dr. R. A. Perry, University Department of Cardiovascular Medicine, Queen Elizabeth Hospital, Queen Elizabeth Medical Centre, Edgbaston, Birmingham B15 2TH, U.K.
Abstract
The primary success rate and incidence of major complications have been retrospectively assessed in a consecutive series of 224 patients undergoing percutaneous transluminal coronary angioplasty (PTCA) in one centre. The patients have been divided into three groups; those with angina and no previous myocardial infarction (Group I; N =130), those with angina and a previous transmural myocardial infarction (TMI) (Group 2; N=59), and those with angina and a previous non-transmural myocardial infarction (NTMI) (Group 3; N=26). The three groups were well matched for age, gender and angiographic severity of stenosis.
The primary success rate in Group 1 was 90% compared to 64% in Group 2. The success rate in Group 3 lay in between at 77%. The lower success rates in Groups 2 and 3 were mainly due to an increase in the frequency of major complications. Acute coronary occlusion occurred in seven patients in Group I, nine patients in Group 2 and four patients in Group 3. In all these patients in Groups 2 and 3 the outcome of acute occlusion was a procedure-related clinical myocardial infarction despite immediate re-angioplasty and/or emergency coronary arlery bypass grafting whereas only four patients in Group I sustained an acute infact.
In this series of patients undergoing coronary angioplasty for symptom limiting angina, previous myocardial infarction appears to be a risk factor for a lower success rate mainly due to an increase in the frequency and severity of major complications.
Key Words: Percutaneous transluminal coronary angioplasty • complications • previous myocardial infarct
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  D. Lane, D. Carroll, and G.Y.H. Lip Psychology in coronary care QJM, August 1, 1999; 92(8): 425 - 431. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L D Dugmore, R J Tipson, M H Phillips, E J Flint, N H Stentiford, M F Bone, and W A Littler Changes in cardiorespiratory fitness, psychological wellbeing, quality of life, and vocational status following a 12 month cardiac exercise rehabilitation programme Heart, April 1, 1999; 81(4): 359 - 366. [Abstract] [Full Text]
|
|