Publication
Intervenção Percutânea Urgente no Enfarte Agudo do Miocárdio por Lesão do Tronco Comum
| dc.contributor.author | Ramos, R | |
| dc.contributor.author | Patrício, L | |
| dc.contributor.author | Abreu, A | |
| dc.contributor.author | Soares, C | |
| dc.contributor.author | Mamede, A | |
| dc.contributor.author | Fernandes, R | |
| dc.contributor.author | Gamboa, P | |
| dc.contributor.author | Timóteo, AT | |
| dc.contributor.author | Sousa, L | |
| dc.contributor.author | Cacela, D | |
| dc.contributor.author | Bernardes, L | |
| dc.contributor.author | Cruz Ferreira, R | |
| dc.date.accessioned | 2011-09-02T15:39:01Z | |
| dc.date.available | 2011-09-02T15:39:01Z | |
| dc.date.issued | 2008 | |
| dc.description.abstract | BACKGROUND: ST-elevation myocardial infarction (STEMI) with the culprit lesion in the left main artery is a rare cardiac emergency with a poor prognosis. OBJECTIVE: Review and prognosis evaluation of primary percutaneous coronary intervention (PCI) performed in the setting of STEMI with left main occlusion in a single high-volume center. METHODS: Of the 483 primary or rescue PCIs performed and followed in our hospital during a 24-month period (August 2004 to July 2006), we retrospectively evaluated those involving left main procedures and analyzed in-hospital mortality and major cardiac events (MACE) in a 12-month follow-up. We found nine patients, age 68 +/- 9 years, five male, seven with multivessel disease and two with isolated left main disease. Rescue PCI was performed in three patients and primary PCI in the others. RESULTS: Seven patients presented in cardiogenic shock and two were classified in Killip class II on admission. Inotropic drugs, intra-aortic balloon pump and abciximab were used in eight patients. Drug-eluting stents were used in six patients, bare-metal stents in two, and isolated balloon angioplasty in one. Five patients (55%) died in the hospital and the four discharged home (two of them aged 81 and 82 years) were still alive and free from MACE at 12-month follow-up. CONCLUSIONS: Clinical presentation of STEMI with the culprit lesion in the left main artery was very severe. During PCI, drug-eluting stents, intra-aortic balloon pump and abciximab were used in almost all patients. This entity had a high mortality rate even though primary PCI was performed. Those who survived had a good mid-term prognosis. | por |
| dc.identifier.citation | Rev Port Cardiol. 2008 Jul-Aug;27(7-8):965-73 | por |
| dc.identifier.uri | http://hdl.handle.net/10400.17/351 | |
| dc.language.iso | por | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Sociedade Portuguesa de Cardiologia | por |
| dc.subject | Idoso | por |
| dc.subject | Angioplastia Coronária de Balão | por |
| dc.subject | Enfarte do Miocárdio | por |
| dc.subject | Estudos Retrospectivos | por |
| dc.title | Intervenção Percutânea Urgente no Enfarte Agudo do Miocárdio por Lesão do Tronco Comum | por |
| dc.title.alternative | Left Main Percutaneous Coronary Intervention in ST Elevation Myocardial Infarction | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 973 | por |
| oaire.citation.startPage | 965 | por |
| oaire.citation.title | Revista Portuguesa de Cardiologia | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |