Search: WFRF:(Theophilus A) >
Culprit Vessel-Only...
Culprit Vessel-Only Versus Multivessel Percutaneous Coronary Intervention in Patients With Cardiogenic Shock Complicating ST-Segment-Elevation Myocardial Infarction : A Collaborative Meta-Analysis
-
- Kolte, Dhaval (author)
- Brown Univ, Dept Med, Div Cardiol, Providence, RI 02912 USA.
-
- Sardar, Partha (author)
- Univ Utah, Dept Med, Div Cardiol, Salt Lake City, UT 84112 USA.
-
- Khera, Sahil (author)
- New York Med Coll, Dept Med, Westchester Med Ctr, Div Cardiol, Valhalla, NY 10595 USA.
-
show more...
-
- Zeymer, Uwe (author)
- Inst Herzinfarktforsch Ludwigshafen, Dept Cardiol, Ludwigshafen, Germany.
-
- Thiele, Holger (author)
- Univ Hosp Schleswig Holstein, Univ Heart Ctr Lubeck, Med Clin 2, Dept Cardiol, Kiel, Germany.;German Cardiovasc Res Ctr DZHK, Partner Site Hamburg Kiel Lubeck, Hamburg, Germany.
-
- Hochadel, Matthias (author)
- Inst Herzinfarktforsch Ludwigshafen, Dept Cardiol, Ludwigshafen, Germany.
-
- Radovanovic, Dragana (author)
- Univ Zurich, AMIS Plus Data Ctr, Zurich, Switzerland.
-
- Erne, Paul (author)
- Univ Zurich, AMIS Plus Data Ctr, Zurich, Switzerland.
-
- Hambraeus, Kristina, 1970- (author)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Falun Cent Hosp, Dept Cardiol, Falun, Sweden.
-
- James, Stefan K, 1964- (author)
- Uppsala universitet,Kardiologi
-
- Claessen, Bimmer E. (author)
- Univ Amsterdam, Acad Med Ctr, Dept Cardiol, Amsterdam, Netherlands.
-
- Henriques, Jose P. S. (author)
- Univ Amsterdam, Acad Med Ctr, Dept Cardiol, Amsterdam, Netherlands.
-
- Mylotte, Darren (author)
- Natl Univ Ireland, SAOLTA Healthcare Grp, Galway Univ Hosp, Dept Cardiol, Galway, Ireland.
-
- Garot, Philippe (author)
- Hop Prive Jacques Cartier, Inst Cardiovasc Paris Sud, Ramsay Gen Sante, Dept Cardiol, Massy, France.
-
- Aronow, Wilbert S. (author)
- New York Med Coll, Dept Med, Westchester Med Ctr, Div Cardiol, Valhalla, NY 10595 USA.
-
- Owan, Theophilus (author)
- Univ Utah, Dept Med, Div Cardiol, Salt Lake City, UT 84112 USA.
-
- Jain, Diwakar (author)
- New York Med Coll, Dept Med, Westchester Med Ctr, Div Cardiol, Valhalla, NY 10595 USA.
-
- Panza, Julio A. (author)
- New York Med Coll, Dept Med, Westchester Med Ctr, Div Cardiol, Valhalla, NY 10595 USA.
-
- Frishman, William H. (author)
- New York Med Coll, Dept Med, Westchester Med Ctr, Div Cardiol, Valhalla, NY 10595 USA.
-
- Fonarow, Gregg C. (author)
- Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div Cardiol, Los Angeles, CA 90095 USA.
-
- Bhatt, Deepak L. (author)
- Harvard Med Sch, Brigham & Womens Hosp, Heart & Vasc Ctr, Dept Med,Div Cardiol, Boston, MA USA.
-
- Aronow, Herbert D. (author)
- Brown Univ, Dept Med, Div Cardiol, Providence, RI 02912 USA.
-
- Abbott, J. Dawn (author)
- Brown Univ, Dept Med, Div Cardiol, Providence, RI 02912 USA.
-
show less...
-
Brown Univ, Dept Med, Div Cardiol, Providence, RI 02912 USA Univ Utah, Dept Med, Div Cardiol, Salt Lake City, UT 84112 USA. (creator_code:org_t)
- LIPPINCOTT WILLIAMS & WILKINS, 2017
- 2017
- English.
-
In: Circulation. Cardiovascular Interventions. - : LIPPINCOTT WILLIAMS & WILKINS. - 1941-7640 .- 1941-7632. ; 10:11
- Related links:
-
https://urn.kb.se/re...
-
show more...
-
https://doi.org/10.1...
-
show less...
Abstract
Subject headings
Close
- Background The optimal revascularization strategy in patients with multivessel disease presenting with cardiogenic shock complicating ST-segment-elevation myocardial infarction remains unknown. Methods and Results Databases were searched from 1999 to October 2016. Studies comparing immediate/single-stage multivessel percutaneous coronary intervention (MV-PCI) versus culprit vessel-only PCI (CO-PCI) in patients with multivessel disease, ST-segment-elevation myocardial infarction, and cardiogenic shock were included. Primary end point was short-term (in-hospital or 30 days) mortality. Secondary end points included long-term mortality, cardiovascular death, reinfarction, and repeat revascularization. Safety end points were in-hospital stroke, renal failure, and major bleeding. The meta-analysis included 11 nonrandomized studies and 5850 patients (1157 MV-PCI and 4693 CO-PCI). There was no significant difference in short-term mortality with MV-PCI versus CO-PCI (odds ratio [OR], 1.08; 95% confidence interval [CI], 0.81-1.43; P=0.61). Similarly, there were no significant differences in long-term mortality (OR, 0.84; 95% CI, 0.54-1.30; P=0.43), cardiovascular death (OR, 0.72; 95% CI, 0.42-1.23; P=0.23), reinfarction (OR, 1.65; 95% CI, 0.84-3.26; P=0.15), or repeat revascularization (OR, 1.13; 95% CI, 0.76-1.69; P=0.54) between the 2 groups. There was a nonsignificant trend toward higher in-hospital stroke (OR, 1.64; 95% CI, 0.98-2.72; P=0.06) and renal failure (OR, 1.30; 95% CI, 0.98-1.72; P=0.06), with no difference in major bleeding (OR, 1.47; 95% CI, 0.39-5.63; P=0.57) with MV-PCI when compared with CO-PCI. Conclusions This meta-analysis of nonrandomized studies suggests that in patients with cardiogenic shock complicating ST-segment-elevation myocardial infarction, there may be no significant benefit with single-stage MV-PCI compared with CO-PCI. Given the limitations of observational data, randomized trials are needed to determine the role of MV-PCI in this setting.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- cardiogenic shock
- complete revascularization
- mortality
- myocardial infarction
- percutaneous coronary intervention
- stroke
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
-
Kolte, Dhaval
-
Sardar, Partha
-
Khera, Sahil
-
Zeymer, Uwe
-
Thiele, Holger
-
Hochadel, Matthi ...
-
show more...
-
Radovanovic, Dra ...
-
Erne, Paul
-
Hambraeus, Krist ...
-
James, Stefan K, ...
-
Claessen, Bimmer ...
-
Henriques, Jose ...
-
Mylotte, Darren
-
Garot, Philippe
-
Aronow, Wilbert ...
-
Owan, Theophilus
-
Jain, Diwakar
-
Panza, Julio A.
-
Frishman, Willia ...
-
Fonarow, Gregg C ...
-
Bhatt, Deepak L.
-
Aronow, Herbert ...
-
Abbott, J. Dawn
-
show less...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
-
MEDICAL AND HEAL ...
-
and Clinical Medicin ...
-
and Cardiac and Card ...
- Articles in the publication
-
Circulation. Car ...
- By the university
-
Uppsala University