Revascularization among patients with acute myocardial infarction complicated by cardiogenic shock and impact of American College of Cardiology/American Heart Association guidelines.
Using New York City hospital discharge data from 1995 to 2002, we examined revascularization use among patients who had acute myocardial infarction complicated by cardiogenic shock before and after publication of recommendations by the American College of Cardiology/American Heart Association (ACC/AHA). The modest increase in these procedures from 1995 to 1999 and from 2000 to 2002 most likely reflected a trend, not a response, to the ACC/AHA recommendation. Moreover, the increase appeared to have been due to more frequent admission of eligible patients to hospitals capable of the service, as opposed to increasing revascularization rates in hospitals capable of revascularization.
Fang
Jing
J
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York 10461, USA. fang@aecom.yu.edu <fang@aecom.yu.edu>
Alderman
Michael H
MH
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000706:statistics & numerical data; D001026:Coronary Artery Bypass / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D016015:Logistic Models; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy*; D009204:Myocardial Revascularization / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012770:Shock, Cardiogenic / Q000209:etiology*