[Treatment of acute ST-elevation myocardial infarction with primary percutaneous coronary intervention].
BACKGROUND
Treatment of acute myocardial infarction has changed significantly in recent years. Since January 1st, 2003 primary coronary intervention has been organized in Budapest. The authors show the results during the implementation of this method in the first 6 months with emphasizing its importance.


METHODS
In the center which was developed specially for catheter interventions in myocardial infarction, 282 patients were admitted during this period with the suspicion of acute ST-elevation myocardial infarction. 266 (94.3%) of them were proved to have an infarction. Of these, 260 had a lesion amenable for percutaneous intervention.


RESULTS
Success rate of catheter-based revascularization was 96.5%. 4 patients underwent open-heart surgery. Adverse events were: severe bleeding 1.1%, in-hospital mortality 4.5%.


CONCLUSIONS
In our center the major outcomes are similar to the results of large international centers.
Becker
Dávid
D
Semmelweis Egyetem, Altalános Orvostudomány Kar, Er- és Szívsebészeti Klinika, Cardiovascularis Centrum, Budapest. becdavid@hotmail.com
Szabó
György
G
Gellér
László
L
Hüttl
Kálmán
K
Kerkovits
Gábor
G
Fülöp
Gábor
G
Acsády
György
G
Merkely
Béla
B
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D002317:Cardiovascular Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004638:Emergency Treatment; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome
D002317:Cardiovascular Agents