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Verfasst von:Bauer, Timm [VerfasserIn]   i
 Zeymer, Uwe [VerfasserIn]   i
 Hochadel, Matthias [VerfasserIn]   i
 Zahn, Ralf [VerfasserIn]   i
 Gitt, Anselm Kai [VerfasserIn]   i
Titel:Use and outcomes of multivessel percutaneous coronary intervention in patients with acute myocardial infarction complicated by cardiogenic shock (from the EHS-PCI registry)
Verf.angabe:Timm Bauer, Uwe Zeymer, Matthias Hochadel, Helge Möllmann, Franz Weidinger, Ralf Zahn, Holger M. Nef, Christian W. Hamm, Jean Marco, and Anselm K. Gitt
E-Jahr:2012
Jahr:1 April 2012
Umfang:6 S.
Fussnoten:Gesehen am 09.11.2018
Titel Quelle:Enthalten in: The American journal of cardiology
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1958
Jahr Quelle:2012
Band/Heft Quelle:109(2012), 7, Seite 941-946
ISSN Quelle:1879-1913
Abstract:The value of multivessel percutaneous coronary intervention (MV-PCI) in patients with cardiogenic shock (CS) and multivessel disease (MVD) is still unclear because randomized controlled trials are missing. Therefore, we sought to evaluate the impact of MV-PCI on in-hospital outcomes of patients with MVD presenting with CS: 336 patients with acute myocardial infarction complicated by CS and ≥70% stenoses in ≥2 major epicardial vessels were included in this analysis of the Euro Heart Survey PCI registry. Patients undergoing MV-PCI (n = 82, 24%) were compared to those with single-vessel PCI (n = 254, 76%). The rate of 3-vessel disease (60% vs 57%, p = 0.63) was similar in the 2 cohorts. Presentation with resuscitation (48 vs 46%, p = 0.76) and ST-segment elevation myocardial infarction (83 vs 87%, p = 0.31) was frequent in patients with MV-PCI and single-vessel PCI. Patients with ventilation were more likely to receive MV-PCI (30% vs 19%, p = 0.05). There was a tendency toward a higher hospital mortality in patients with MV-PCI (48.8% vs 37.4%, p = 0.07). After adjustment for confounding variables, no significant difference for in-hospital mortality (odd ratio [OR] 1.28, 95% confidence interval [CI] 0.72 to 2.28) could be observed between the 2 groups. Age (OR 1.41, 95% CI 1.13 to 1.77), 3-vessel disease (OR 1.78, 95% CI 1.04 to 3.03), ventilation (OR 3.01, 95% CI 1.59 to 5.68), and previous resuscitation (OR 2.55, 95% CI 1.48 to 4.39) were independent predictors of hospital death. In conclusion, MV-PCI is currently used in only 1/4 of patients with CS and MVD. An additional nonculprit PCI was not associated with a survival benefit in these high risk patients.
DOI:doi:10.1016/j.amjcard.2011.11.020
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.1016/j.amjcard.2011.11.020
 Volltext: http://www.sciencedirect.com/science/article/pii/S0002914911034369
 DOI: https://doi.org/10.1016/j.amjcard.2011.11.020
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1583128867
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