title: [Interventional treatment of myocardial infarction. Own experience].
abstract: The aim of the study is the analysis of own results of myocardial infarction treatment using percutaneous coronary intervention (PCI) in the setting of twenty-four hour long hemodynamic service. Between 01.12.1998 and 31.12.2001 249 patients with diagnosis of acute myocardial infarction were admitted to our Department. Their mean age was 58 years, men -73.5%, median of pain duration was 4 hours, diabetes occurred in 11.6%, hypertension in 37.3%, dyslipidemia occurred in 14%, smokers constituted 59% of patients. 60.2% of patients were in Killip class I, 18.5% in class II, 8.0% in class III and 13.3% in class IV. Anterior and/or lateral myocardial infarction was diagnosed in 105 patients, inferior and/or posterior in 144 patients. Angiography was performed in 225 patients, PCI was performed in 178. TIMI 3 flow was achieved in 76% of patients with shock and 90% of patients without shock. Multivessel coronary artery disease was present in 71% of patients. 30-day mortality in patients treated with PCI was 11.8%, after exclusion of III and IV Killip class patients mortality was 4.3%. 30-day mortality in group of patients with cardiogenic shock was 38.0%. Relative risk of death in patients in III and IV Killip class was higher for these treated conservatively: IV class -1.51 (p = 0.075), III and IV class (common group) -1.38 (p = 0.064). In the year of 2001 30-day mortality among the patients in I and II Killip class treated with PCI was 2.43%.
  
  
  CONCLUSIONS
  1. Primary percutaneous coronary intervention in the treatment of myocardial infarction improves prognosis in group of patients with cardiogenic shock in 30-day observation. 2. 11.8% mortality observed in our PCI treated group is associated in our opinion with occurrence of multivessel coronary disease in 71% of patients.
authors.affiliation: II Katedra i Kliniczny Oddział Kardiologii w Zabrzu.
authors.forename: Damian
authors.initials: D
authors.lastname: Kawecki
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Szczurek-Katański
authors.forename: Wojciech
authors.initials: W
authors.lastname: Jacheć
authors.forename: Jacek
authors.initials: J
authors.lastname: Szyguła
authors.forename: Piotr
authors.initials: P
authors.lastname: Walichiewicz
authors.forename: Andrzej
authors.initials: A
authors.lastname: Tomasik
authors.forename: Przemysław
authors.initials: P
authors.lastname: Wilczewski
authors.forename: Marcin
authors.initials: M
authors.lastname: Fudal
authors.forename: Renata
authors.initials: R
authors.lastname: Rybczyk
authors.forename: Grazyna
authors.initials: G
authors.lastname: Glanowska
authors.forename: Jan
authors.initials: J
authors.lastname: Wodniecki
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D012720:Severity of Illness Index