A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial

Detalhes bibliográficos
Autor(a) principal: Nicolau, José C.
Data de Publicação: 2007
Outros Autores: Marin Neto, J. A., Giraldez, Roberto R., Golin, Valdir, Rabelo Júnior, Álvaro, Ramires, José A. F.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/15909
Resumo: Texto completo: acesso restrito. p. 383-388
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spelling Nicolau, José C.Marin Neto, J. A.Giraldez, Roberto R.Golin, ValdirRabelo Júnior, ÁlvaroRamires, José A. F.Nicolau, José C.Marin Neto, J. A.Giraldez, Roberto R.Golin, ValdirRabelo Júnior, ÁlvaroRamires, José A. F.2014-09-09T15:04:13Z20070167-5273http://repositorio.ufba.br/ri/handle/ri/15909v. 116, n. 3Texto completo: acesso restrito. p. 383-388Background: A substantial proportion of patients treated with fibrinolytics for acute myocardial infarction (AMI) is subsequently submitted to surgical or percutaneous revascularization procedures during the same hospitalization. However, data comparing these procedures are scarce in the literature. The purpose of this study was to analyze the outcomes of a population with AMI who, during the in-hospital phase, received fibrinolytic therapy followed by coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI). Methods: The study population included 3532 patients submitted to CABG (N = 574) or PCI (N = 2958), out of 15,114 patients studied in the InTIME-2 trial. Among patients treated with PCI there were no differences between those who received stents or isolated balloon angioplasty, so that their data were pooled for analysis. Results: CABG and PCI groups were compared regarding all-cause mortality (at 30 days and one year post-AMI) and non-fatal events (reinfarction, need of additional post-discharge revascularization and re-hospitalization for an ischemic event) within 30 days after MI. There was no significant difference in mortality rates between the groups – both unadjusted and adjusted – at 30 days and one year post-MI. The unadjusted 30-day rates of combined fatal and non-fatal events were 10.3% for the CABG group, and 15.3% for the PCI group (odds-ratio 0.64, P = 0.0017), but the adjusted odds-ratio for the combined endpoint only achieved borderline significance (P = 0.048). Conclusion: Mortality rates for CABG and PCI were similar up to one year after AMI, but CABG tends to carry a better event-free survival in the first 30 days.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-01-29T14:41:18Z No. of bitstreams: 1 1-s2.0-S0167527306004979-main.pdf: 147386 bytes, checksum: 02ab180744de3d741fdbd07d73c7226a (MD5)Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2014-09-09T15:04:13Z (GMT) No. of bitstreams: 1 1-s2.0-S0167527306004979-main.pdf: 147386 bytes, checksum: 02ab180744de3d741fdbd07d73c7226a (MD5)Made available in DSpace on 2014-09-09T15:04:13Z (GMT). No. of bitstreams: 1 1-s2.0-S0167527306004979-main.pdf: 147386 bytes, checksum: 02ab180744de3d741fdbd07d73c7226a (MD5) Previous issue date: 2007http://dx.doi.org/10.1016/j.ijcard.2006.03.062reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAAcute myocardial infarctionFibrinolysisCoronary artery bypass graftPercutaneous coronary interventionA comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trialInternational Journal of Cardiologyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINAL1-s2.0-S0167527306004979-main.pdf1-s2.0-S0167527306004979-main.pdfapplication/pdf147386https://repositorio.ufba.br/bitstream/ri/15909/1/1-s2.0-S0167527306004979-main.pdf02ab180744de3d741fdbd07d73c7226aMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/15909/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXT1-s2.0-S0167527306004979-main.pdf.txt1-s2.0-S0167527306004979-main.pdf.txtExtracted texttext/plain29559https://repositorio.ufba.br/bitstream/ri/15909/3/1-s2.0-S0167527306004979-main.pdf.txt0c730c27d412a37654d0be044666ce8aMD53ri/159092022-07-05 14:03:32.366oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:32Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
dc.title.alternative.pt_BR.fl_str_mv International Journal of Cardiology
title A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
spellingShingle A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
Nicolau, José C.
Acute myocardial infarction
Fibrinolysis
Coronary artery bypass graft
Percutaneous coronary intervention
title_short A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
title_full A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
title_fullStr A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
title_full_unstemmed A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
title_sort A comparison of percutaneous coronary intervention and surgical revascularization after fibrinolysis for acute myocardial infarction. Insights from the InTIME-2 trial
author Nicolau, José C.
author_facet Nicolau, José C.
Marin Neto, J. A.
Giraldez, Roberto R.
Golin, Valdir
Rabelo Júnior, Álvaro
Ramires, José A. F.
author_role author
author2 Marin Neto, J. A.
Giraldez, Roberto R.
Golin, Valdir
Rabelo Júnior, Álvaro
Ramires, José A. F.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Nicolau, José C.
Marin Neto, J. A.
Giraldez, Roberto R.
Golin, Valdir
Rabelo Júnior, Álvaro
Ramires, José A. F.
Nicolau, José C.
Marin Neto, J. A.
Giraldez, Roberto R.
Golin, Valdir
Rabelo Júnior, Álvaro
Ramires, José A. F.
dc.subject.por.fl_str_mv Acute myocardial infarction
Fibrinolysis
Coronary artery bypass graft
Percutaneous coronary intervention
topic Acute myocardial infarction
Fibrinolysis
Coronary artery bypass graft
Percutaneous coronary intervention
description Texto completo: acesso restrito. p. 383-388
publishDate 2007
dc.date.issued.fl_str_mv 2007
dc.date.accessioned.fl_str_mv 2014-09-09T15:04:13Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/15909
dc.identifier.issn.none.fl_str_mv 0167-5273
dc.identifier.number.pt_BR.fl_str_mv v. 116, n. 3
identifier_str_mv 0167-5273
v. 116, n. 3
url http://repositorio.ufba.br/ri/handle/ri/15909
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1016/j.ijcard.2006.03.062
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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collection Repositório Institucional da UFBA
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