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Long-term prognosis of patency of infarct-related coronary artery after thrombolytic treatment in acute myocardial infarction

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收录情况: ◇ SCIE ◇ 中华系列

机构: [1]Fu Wai Hospital, CAMS& PUMC [2] De zhou Hospital [3] The Third Affiliated Ho spital, Beijing Medical Univer sity [4] Nanjing First Hospital [5] The First Affiliated Ho spital, Chinese Medical Univ ersity [6] Beijing An Zhen Hospital [7] Ha erbin First Hospital [8] The Fir st Affilia ted Hospital, Shanxi Medical University [9] Beijing Red Gr oss Chao Yang Ho spital [10] Beijing Emerg ency Medical Center [11] Shenyang Gene nal Ho spital, PLA [12] Peking Union Co llege Ho spital, CAM S& PUMC [13] Tianjin Railway Central Hospital [14] Xijing Affiliated Ho spital, the Fourth Military Medical Univ ersity [15] Beijing Friendship Ho spital [16] Beijing Fu Xing Ho spital [17] Jin Zho u First Ho spital [18] The First Affilia ted Hospital, Dalian Medical University [19] China-Japan Friendship Hospital [20] Beijing Post-Telecon Genenal Ho spital [21] Tiedo ng Hospital, Anshan Steel and Iron Compancy [22] General Ho spital , PLA [23] Beth une Inter national Peace Hospital [24] Lang fang Ho spital [25] 304th Ho spital, PLA [26] To ng Ji Hospital ,To ng Ji M edical University [27] The Second Affilia ted Ho spital, Da lia n Medica l University [28] Nav y Gene ral Ho spital, PLA [29] The First Affiliated Hospital, Henan Medical Univ ersity [30] Beijing Building Enginee ring General Ho spital [31] Tianjin Chest Ho spital [32] General Hospital, Tianjin Medial Univesity [33] The First Affilia ted Hospital, Har bin Medical Univerity [34] Beijing Xuan Wu Hosptial [35] Beijing Ji Shui Tan Hospital [36] Liaoning Prov ince People Hospital
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Objective To investigate the long-term prognostic influence of patency of the Methods One thousand two hundred and sixty seven cases of acute myocardial infarction with thrombolytic treatment between July 1991 and January 1995 in 36 collaborative hospitals were follwed-up after discharge with a total follow-up rate of 84.5%. Patency of infarct-related coronary artery was assessed by uniform clinical criteria. Eight hundred and forty three patients with patency were followed up for 16.0 +/- 10.4 months and 424 patients without pateney for 19.2 +/- 12.22. Death or up to the end of March, 1995 was used as the end point. Results Comparisons of patients with patent versus non-patent infarct-related coronary artery during follow-up showed: (1) Cardiac death rate was 2.85% in patients with patency while 4.72% in those without patency (logrank test, P > 0.1). (2) Three-year survival rates calculated by Kaplan-Meier curve were 91.6% and 73.9% respectively (logrank test, P < 0.001). (3) Incidence of reinfarction were 5.7% and 5.9% respectively (P < 0.05). (4) Patients with class III-IV NYHA cardiac function occurred in 11.3% and 17.9% respectively (P < 0.01). (5) By Cox regression model analysis patency of infarct-related coronary artery, recurrent infarction, age and infarct sites were independent prognostic factors. Survival probability increased by 33.5% in patients with patency compared to those without patency. Conclusion It is evident that pateney of infarct-related coronary artery could improve long-term survival.

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大类 | 3 区 医学
小类 | 3 区 医学:内科
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出版当年[1995]版:
最新[2023]版:
Q1 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[1995版] 出版当年五年平均 出版前一年[1994版]

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第一作者机构: [1]Fu Wai Hospital, CAMS& PUMC
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