ELLIS, SG, M TENDERA, Belder MA DE, Boven AJ VAN, Petr WIDIMSKÝ, L JANSSENS, HR ANDERSEN, A BETRIU, S SAVONITTO, J ADAMUS, JZ PERUGA, M KOSMIDER, O KATZ, T NEUNTEUFL, J JORGOVA, M DOROBANTU, L GRINFELD, P ARMSTRONG, BR BRODIE, HC HERRMANN, G MONTALESCOT, FJ NEUMANN, MB EFFRON, ES BARNATHAN and EJ TOPOL. Facilitated PCI in patients with ST-elevation myocardial infarction. New England Journal of Medicine. USA: MASSACHUSETTS MEDICAL SOC, 2008, vol. 358, No 21, p. 2205-2217. ISSN 0028-4793. Available from: https://dx.doi.org/10.1056/NEJMoa0706816.
Other formats:   BibTeX LaTeX RIS
Basic information
Original name Facilitated PCI in patients with ST-elevation myocardial infarction
Authors ELLIS, SG, M TENDERA, Belder MA DE, Boven AJ VAN, Petr WIDIMSKÝ, L JANSSENS, HR ANDERSEN, A BETRIU, S SAVONITTO, J ADAMUS, JZ PERUGA, M KOSMIDER, O KATZ, T NEUNTEUFL, J JORGOVA, M DOROBANTU, L GRINFELD, P ARMSTRONG, BR BRODIE, HC HERRMANN, G MONTALESCOT, FJ NEUMANN, MB EFFRON, ES BARNATHAN and EJ TOPOL.
Edition New England Journal of Medicine, USA, MASSACHUSETTS MEDICAL SOC, 2008, 0028-4793.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 50.017
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1056/NEJMoa0706816
UT WoS 000256023600003
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 23/2/2015 15:41.
Abstract
Background We hypothesized that percutaneous coronary intervention (PCI) preceded by early treatment with abciximab plus half-dose reteplase (combination-facilitated PCI) or with abciximab alone (abciximab-facilitated PCI) would improve outcomes in patients with acute ST-segment elevation myocardial infarction, as compared with abciximab administered immediately before the procedure (primary PCI). Methods In this international, double-blind, placebo-controlled study, we randomly assigned patients with ST-segment elevation myocardial infarction who presented 6 hours or less after the onset of symptoms to receive combination-facilitated PCI, abciximab-facilitated PCI, or primary PCI. All patients received unfractionated heparin or enoxaparin before PCI and a 12-hour infusion of abciximab after PCI. The primary end point was the composite of death from all causes, ventricular fibrillation occurring more than 48 hours after randomization, cardiogenic shock, and congestive heart failure during the first 90 days after randomization. Results A total of 2452 patients were randomly assigned to a treatment group. Significantly more patients had early ST-segment resolution with combination-facilitated PCI (43.9%) than with abciximab-facilitated PCI (33.1%) or primary PCI (31.0%; P = 0.01 and P = 0.003, respectively). The primary end point occurred in 9.8%, 10.5%, and 10.7% of the patients in the combination-facilitated PCI group, abciximab-facilitated PCI group, and primary-PCI group, respectively (P = 0.55); 90-day mortality rates were 5.2%, 5.5%, and 4.5%, respectively (P = 0.49). Conclusions Neither facilitation of PCI with reteplase plus abciximab nor facilitation with abciximab alone significantly improved the clinical outcomes, as compared with abciximab given at the time of PCI, in patients with ST-segment elevation myocardial infarction.
PrintDisplayed: 15/7/2024 19:41