Effectiveness of primary angioplasty for acute myocardial infarction in patients on dialysis

• Published in: The American journal of cardiology Vol. 93; no. 4; pp. 468 - 470
• Main Authors: West, Andrew J., Dixon, Simon R., Kahn, Joel K., Levin, Robert N., O'Neill, William W., Grines, Cindy L., Berman, Aaron D.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 15-02-2004; Elsevier; Elsevier Limited
• Subjects: Aged; Analysis; Angioplasty; Angioplasty, Balloon, Coronary; Biological and medical sciences; Cardiology. Vascular system; Cardiovascular disease; Coronary heart disease; Female; Heart; Hemodialysis; Humans; Incidence; Male; Medical sciences; Middle Aged; Mortality; Myocardial Infarction - complications; Myocardial Infarction - therapy; Myocarditis. Cardiomyopathies; Renal Dialysis; Shock, Cardiogenic - complications; Shock, Cardiogenic - epidemiology; Treatment Outcome; Human; Myocardial infarction; Angioplasty; Acute; Instrumentation therapy; Cardiovascular disease; Instrumental dilatation; Myocardial disease; Phlebology; Efficiency; Heart disease; Primary; Dialysis; Circulatory system; Cardiology
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2003.10.046

We sought to characterize the outcome in patients who were on long-term dialysis and who underwent primary percutaneous trnasluminal coronary angioplasty (PTCA) for acute myocardial infarction. Of 2,831 consecutive patients who underwent primary PTCA for acute myocardial infarction from 1993 to 2001, 15 patients on long-term dialysis were identified. This small cohort had a 40% incidence of cardiogenic shock on admission. Despite the angiographic success rate for primary PTCA of 80%, in-hospital mortality was 53%.