Primary angioplasty versus systemic thrombolysis in anterior myocardial infarction.

@article{Garca1999PrimaryAV,
  title={Primary angioplasty versus systemic thrombolysis in anterior myocardial infarction.},
  author={Eulogio J. Garc{\'i}a and Jaime El{\'i}zaga and Nicasio P{\'e}rez-Castellano and Jos{\'e} Antonio Serrano and Javier Soriano and Manuel Abeytua and Javier Botas and Rafael Rubio and E L{\'o}pez de sa and Jos{\'e} Lu{\'i}s L{\'o}pez-Send{\'o}n and Ju{\'a}n Lu{\'i}s Delc{\'a}n},
  journal={Journal of the American College of Cardiology},
  year={1999},
  volume={33 3},
  pages={605-11}
}
OBJECTIVES This study compares the efficacy of primary angioplasty and systemic thrombolysis with t-PA in reducing the in-hospital mortality of patients with anterior AMI. BACKGROUND Controversy still exists about the relative benefit of primary angioplasty over thrombolysis as treatment for AMI. METHODS Two-hundred and twenty patients with anterior AMI were randomly assigned in our institution to primary angioplasty (109 patients) or systemic thrombolysis with accelerated t-PA (111… CONTINUE READING

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During hospitalization , patients treated by angioplasty had a lower frequency of postinfarction angina or positive stress test ( 11.9% vs. 25.2% , p = 0.01 ) and less frequently underwent percutaneous or surgical revascularization after the initial treatment ( 22.0% vs. 47.7% , p < 0.001 ) than did patients treated by t - PA .
During hospitalization , patients treated by angioplasty had a lower frequency of postinfarction angina or positive stress test ( 11.9% vs. 25.2% , p = 0.01 ) and less frequently underwent percutaneous or surgical revascularization after the initial treatment ( 22.0% vs. 47.7% , p < 0.001 ) than did patients treated by t - PA .
During hospitalization , patients treated by angioplasty had a lower frequency of postinfarction angina or positive stress test ( 11.9% vs. 25.2% , p = 0.01 ) and less frequently underwent percutaneous or surgical revascularization after the initial treatment ( 22.0% vs. 47.7% , p < 0.001 ) than did patients treated by t - PA .
During hospitalization , patients treated by angioplasty had a lower frequency of postinfarction angina or positive stress test ( 11.9% vs. 25.2% , p = 0.01 ) and less frequently underwent percutaneous or surgical revascularization after the initial treatment ( 22.0% vs. 47.7% , p < 0.001 ) than did patients treated by t - PA .
At six month follow - up , patients treated by angioplasty had a lower cumulative rate of death ( 4.6% vs. 11.7% , p = 0.05 ) and revascularization ( 31.2% vs. 55.9% , p < 0.001 ) than those treated by t - PA .
During hospitalization , patients treated by angioplasty had a lower frequency of postinfarction angina or positive stress test ( 11.9% vs. 25.2% , p = 0.01 ) and less frequently underwent percutaneous or surgical revascularization after the initial treatment ( 22.0% vs. 47.7% , p < 0.001 ) than did patients treated by t - PA .
During hospitalization , patients treated by angioplasty had a lower frequency of postinfarction angina or positive stress test ( 11.9% vs. 25.2% , p = 0.01 ) and less frequently underwent percutaneous or surgical revascularization after the initial treatment ( 22.0% vs. 47.7% , p < 0.001 ) than did patients treated by t - PA .
At six month follow - up , patients treated by angioplasty had a lower cumulative rate of death ( 4.6% vs. 11.7% , p = 0.05 ) and revascularization ( 31.2% vs. 55.9% , p < 0.001 ) than those treated by t - PA .
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