[The Registry for Angioplasty in Infarction (RAI): brief preliminary report on the main indicators and process of acute outcome].
BACKGROUND
Emergency coronary angioplasty can be the treatment of choice in selected patients with acute myocardial infarction in centers with adequate facilities and organization.


METHODS
A multicenter observational study in patients with high-risk acute myocardial infarction was conducted to evaluate the quality of emergency angioplasty treatment according to process, acute and long-term outcome, and use of resources.


RESULTS
The RAI registry included 345 patients with high-risk acute myocardial infarction who were admitted to six participating centers over a thirteen-month period. Emergency coronary angiography was performed in 261 patients (76%) and was followed by immediate angioplasty in 236 of them (68%). Mean door-to-procedure time was 58 +/- 47 min. Severe left ventricular failure was present at admission in 35 (13%) of the 261 patients with emergency coronary angiography; and 29 of them were in cardiogenic shock (11%). Overall, in-hospital mortality for patients with angioplasty was 7.6%; i.e., 43% and 3.7% for patients with and without shock, respectively.


CONCLUSIONS
Despite logistical limitation, in centers with emergency angioplasty programs this treatment can be performed with favorable process and acute outcome characteristics in patients with high-risk myocardial infarction.
Steffenino
G
G
Divisioni di Cardiologia di Ospedale Santa Croce, Cuneo.
Dellavalle
A
A
Chierchia
S
S
Vicedomini
G
G
Fontanelli
A
A
Bernardi
G
G
Niccoli
L
L
Ettori
F
F
Repetto
S
S
Castiglioni
B
B
Risica
G
G
Giommi
L
L
D000208:Acute Disease; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D004632:Emergency Medical Services; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy*; D012042:Registries; D016896:Treatment Outcome