Do on-site coronary angiographic facilities influence management and prognosis of acute myocardial infarction?

S. Behar, H. Hod, B. Benari, R. Narinsky, H. Pauzner, E. Rechavia, H. Faibel, A. Katz, A. Roth, E. Goldhammer

Research output: Contribution to journalArticlepeer-review

Abstract

Whether the presence of on-site coronary angiographic facilities (CAF) influences the use of invasive coronary procedures and the outcome of acute myocardial infarction in coronary care units was studied. A prospective survey was conducted early in 1992 when 1014 consecutive patients with acute infarction were admitted. Of them 707 (70%) were admitted to coronary care units of hospitals with, and 307 (30%) without CAF. Thrombolytic therapy was given to 46% in both groups. Those admitted to hospitals with CAF underwent more coronary angiographies (26%) and percutaneous transluminal angiography and/or coronary artery bypass grafting (12%) than those without CAF (10 and 5%, respectively--p < 0.005). In-hospital and 1-year mortality were 11 and 18% respectively in those with CAF, vs 10 and 11%, respectively, in those without CAF. All patients treated with a thrombolytic agent had similar mortality, unrelated to the availability of CAF. The survey showed that the availability of on-site coronary angiography facilities led to greater use of invasive coronary procedures in cases of acute myocardial infarction, but there was no significant difference in mortality.

Original languageEnglish
Pages (from-to)361-364, 432
JournalHarefuah
Volume127
Issue number10
StatePublished - 1 Jan 1994
Externally publishedYes

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