Percutaneous transluminal coronary angioplasty after non-Q-wave infarction.
Non-Q-wave infarction is associated with a significant incidence of infarction and death. We followed 52 patients who underwent percutaneous transluminal coronary angioplasty (PTCA) within three months of non-Q-wave myocardial infarction. Thirty-eight patients had single-vessel disease, 12 had double-vessel disease, and two had triple-vessel disease. At follow-up at 28 +/- 8 months, all patients were alive. Three suffered a recurrent myocardial infarction during the follow-up period. Nine underwent repeat angioplasty. Four patients had bypass surgery for recurrent symptoms. Only 25% of the patients had angina at follow-up, and all but two were in an improved functional class. PTCA may be used safely in the management of patients after non-Q-wave infarction and results in a favorable long-term prognosis.
Bellamy
G R
GR
McEniery
P T
PT
Zaidi
A R
AR
Hollman
J
J
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D001026:Coronary Artery Bypass; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy*; D011379:Prognosis; D012008:Recurrence