title: [Results of treatment of patients with acute myocardial infarction and high risk of cardiac complications].
abstract: The authors compare the results of the treatment of 883 patients with acute myocardial infarction (AMI) referred to the group with high risk of cardiac complications based on the TIMI, GRACE, and TIMI Il assessment stratification scales. 487 patients were treated by conservative therapy using anticoagulative (n = 414) or thrombolytic (n = 73)) agents. 396 underwent surgical treatment (coronary artery bypass surgery (101) or percutaneous coronary angioplasty (295)). The mortality rate in the group treated by percutaneous coronary angioplasty was 13.6 (p < 0.001), 7.2 (p < < 0.01) and 3.5 (p < 0.05) times lower than after anticoagulation therapy, thrombolysis and coronary bypass surgery respectively. It is concluded that percutaneous coronary angioplasty has advantages over other modalities for the treatment of patients with acute myocardial infarction and high risk of cardiac complications.
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D000925:Anticoagulants / Q000627:therapeutic use; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D012306:Risk; D015912:Thrombolytic Therapy; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D005343:Fibrinolytic Agents