BACKGROUND. Emergency coronary angiop/asty can be the treatment of choke in selected patients with acute myocardia/ infarction in centers with adequate facilities and organization. METHODS. A mult/center observat/ona/ study in patients with high-risk acute myocardia/ infarction was conducted to evaluate the quality of emergency ang/op/asty treatment according to process, acute and long-term outcome, and use of resources. RESULTS. The RAI registry included 345 patients with high-risk acute myocardia/ infarction who were admitted to six participating centers over a thirteen-month period. Emergency coronary angiography was performed in 261 patients (76%) and was followed by immediate angioplasty in 236 of them (68%). Mean door-to-procedure time was 58 -47 min. Severe left ventricular failure was present at admission in 35 (13%) of the 261 patients with emergency coronary angiography; and 29 of them were in cardiogenic shock (11%). Overall, in-hospital mortality for patients with angioplasty was 7.6%; i.e., 43% and 3.7% for patients with and without shock, respective/y. CONCLUSIONS. Despite logistical limitations, in centers with emergency angioplasty programs this treatment can be performed with favorable process and acute outcome characteristics in patients with high-risk myocardia/ infarction.
|Translated title of the contribution||The Registry for Angioplasty in acute myocardial Infarction (RAI): Brief preliminary report of the main process and acute outcome indicators|
|Number of pages||6|
|Journal||Giornale Italiano di Cardiologia|
|Publication status||Published - 1997|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine