[Long-term outcome of acute myocardial infarction treated with primary angioplasty. Experience of a public center in Alsatia-France].
OBJECTIVE
Estimation of long-term outcome for patients suffering from acute myocardial infarction treated with primary angioplasty in an alsatian public center.


METHODS
Two-hundred and ninety-eight patients who underwent an urgent coronarography in a non-university center, with a view to immediate angioplasty, between January 1999 and December 2001.


RESULTS
Two-hundred and sixty-four patients (88.6%) were actually treated with urgent angioplasty, which has been successful in 87.1% of cases. Hospital mortality was of 7.7%. The population was composed of 16.4% patients older than 75 and of 11.7% patients with Killip 3 or 4 at admission. Mean follow-up was 34 months, lost to follow-up rate was of 4.7%. The global survival rate was of 78.9% and event-less survival rate of 41.9%.


CONCLUSIONS
Our results confirm the efficiency of angioplasty in real-life conditions as well at short-term as at long-term.
Schaller
V
V
Service de cardiologie, centre hospitalier général de Haguenau, 64, avenue du Professeur-Leriche, 67500 Haguenau, France.
de Poli
F
F
Buffler
S
S
Couppie
P
P
Gottwalles
Y
Y
Monassier
J P
JP
Hanssen
M
M
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006769:Hospitals, General; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate; D015912:Thrombolytic Therapy; D016896:Treatment Outcome