The prognostic importance of heart failure and age in patients treated with primary angioplasty

JPS Henriques, F Zijlstra*, MJ de Boer, AWJ van't Hof, ATM Gosselink, H Suryapranata, JCA Hoorntje, Jan Hendrik Everwijn Dambrink

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Scopus)

Abstract

Background: Effective risk stratification is essential in the management of patients with acute myocardial infarction. Available models have not yet been studied and validated in patients treated with primary angioplasty for acute myocardial infarction. Methods: The prognostic value of heart failure defined by Killip class and age upon admission and the impact of success and failure of the angioplasty procedure was studied in 1702 consecutive patients treated with primary angioplasty. Findings: The combination of Killip class and age is a strong predictor of 30-day mortality and categorizes patients in subgroups with 30-day mortality risk ranging from 0.5 to 70%. Angioplasty failure results in a high 30-day mortality, in particular in patients with Killip class greater than or equal toII and/or age greater than or equal to70 years. A large majority of patients (72%), characterized by Killip class I and age

Original languageEnglish
Pages (from-to)291-294
Number of pages4
JournalEuropean Journal of Heart Failure
Volume5
Issue number3
DOIs
Publication statusPublished - Jun-2003

Keywords

  • primary angioplasty
  • myocardial infarction
  • risk stratification
  • ACUTE MYOCARDIAL-INFARCTION
  • PRIMARY CORONARY ANGIOPLASTY
  • EARLY DISCHARGE
  • RISK
  • REPERFUSION
  • MORTALITY
  • THERAPY
  • TRIAL
  • ERA

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