期刊
SCANDINAVIAN CARDIOVASCULAR JOURNAL
卷 40, 期 1, 页码 25-28出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/14017430500243614
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Objectives. To calculate the incidence and analyse and outcome after coronary artery bypass grafting (CABG) within the first year after randomisation of 1572 patients with acute myocardial infarctions with ST-segment elevation (STEMI) to either percutaneous coronary intervention (PCI) or fibrinolysis. Design. The study includes 131 patients: 108 male and 23 female with a mean age 62 years. Results. The total 30-day mortality after CABG was 4.6% (7.5% in the PCI group and 2.6% in the fibrinolysis group). The 30-day mortality was 9.8% after CABG within the first 30-days and 1.3% after CABG within 31-365 days. The patients who were operated early had a reduced EF to 43% as compared to 50% in patients who were not operated or patients having CABG after 30-days (p =0.002). Conclusion. CABG was performed within the first year after STEMI in 10% of patients randomised to fibrinolysis and in 6.7% of patients randomised to PCI. Patients having CABG within the first 30-days after treatment of STEMI had an increased mortality of 9.80%.
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