当前位置： SCI文献检索 > AMERICAN HEART JOURNAL期刊下所有文献 > Short-term outcomes after percutaneous coronary intervention: effects of stenting and institutional volume shifts.

Short-term outcomes after percutaneous coronary intervention: effects of stenting and institutional volume shifts.

Abstract：

BACKGROUND:This study examines how the dissemination of stenting and procedural shifts to high-volume facilities have affected short-term outcomes after percutaneous coronary intervention (PCI). METHODS:Discharge information from the 1994 and 1997 US Nationwide Inpatient Sample was used. Data from 1994 involved 84,036 angioplasties, 27.3% of which were performed for acute myocardial infarction (AMI), at a time when stents were generally unavailable. Data from 1997 included 118,548 angioplasties, 30.2% of which were performed for AMI and 59% of which involved stenting. Outcomes included same-admission mortality and same-admission bypass grafting surgery (CABG). RESULTS:Compared with 1994, in 1997 stents were in widespread use, and there was a significant shift in PCI procedures to high-volume facilities. There was no significant difference in overall mortality rates between 1994 and 1997. However, same-admission CABG rates were lower in 1997 than in 1994 for the AMI group (2.9% vs 4.7%, P <.0001) and for the no-AMI group (1.8% vs 3.0%, P <.0001), which was attributable almost entirely to stenting. For 1997 only, patients receiving stents had a lower mortality rate than patients undergoing PCI without stenting (AMI 2.7% vs 4.7%, P <.0001, no AMI 0.7% vs 0.9%, P =.004). CONCLUSIONS:Despite the dissemination of stenting and shifts to high-volume facilities, overall mortality rates after PCI have not significantly changed. However, patients undergoing stenting in 1997 had a significantly lower mortality rate than patients who did not undergo stenting, suggesting that stents may prevent inhospital deaths. Furthermore, same-admission CABG rates have decreased dramatically, an association seen with the introduction of stenting, but not with volume shifts.

journal_name

Am Heart J

journal_title

American heart journal

authors

Watanabe CT,Maynard C,Ritchie JL

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

310-4

issue

2

eissn

0002-8703

issn

1097-6744

pii

S0002870302000844

journal_volume

144

pub_type

杂志文章

相关文献

AMERICAN HEART JOURNAL文献大全
  • Impact of contrast-induced acute kidney injury definition on clinical outcomes.

    abstract：BACKGROUND:Contrast-induced acute kidney injury (CIAKI) is a frequent complication after infusion of contrast media in patients undergoing percutaneous coronary intervention. A wide range of CIAKI rates occurs after intervention between 3% and 30%, depending on the definition. The aim of this study was to identify whic...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2011.02.004

    authors： Budano C,Levis M,D'Amico M,Usmiani T,Fava A,Sbarra P,Burdese M,Segoloni GP,Colombo A,Marra S

    更新日期：2011-05-01 00:00:00

  • Return to the workforce following infective endocarditis-A nationwide cohort study.

    abstract：BACKGROUND:The ability to return to work after infective endocarditis (IE) holds important socioeconomic consequences for both patients and society, yet data on this issue are sparse. We examined return to the workforce and associated factors in IE patients of working age. METHODS:Using Danish nationwide registries, w...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ahj.2017.09.009

    authors： Butt JH,Kragholm K,Dalager-Pedersen M,Rørth R,Kristensen SL,Chaudry MS,Valeur N,Østergaard L,Torp-Pedersen C,Gislason GH,Køber L,Fosbøl EL

    更新日期：2018-01-01 00:00:00

  • Left atrial appendage flow velocity after successful ablation of persistent atrial fibrillation: clinical perspective from transesophageal echocardiographic assessment during sinus rhythm.

    abstract：BACKGROUND:Left atrial appendage flow velocity (LAAFV) is a predictor of thromboembolism in atrial fibrillation (AF) patients, as well as CHA2DS2-VASc score. However, little is known about LAAFV in sinus rhythm (SR) after catheter ablation. The aim of this study was to determine clinical predictors of low LAAFV in pati...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2014.11.009

    authors： Kusa S,Komatsu Y,Taniguchi H,Uchiyama T,Takagi T,Nakamura H,Miyazaki S,Hachiya H,Iesaka Y

    更新日期：2015-02-01 00:00:00

  • Patterns of aspirin use in middle-aged adults: the Atherosclerosis Risk in Communities (ARIC) Study.

    abstract：:To determine correlates of and recent trends in aspirin use in middle-age men and women, we analyzed data from population-based samples selected in four U.S. communities. Aspirin use (during a 2-week period preceding the study examination) was more prevalent in whites than in blacks (30% vs 11%; p < 0.001) and in men ...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,评审

    doi：10.1016/s0002-8703(96)90173-8

    authors： Shahar E,Folsom AR,Romm FJ,Bisgard KM,Metcalf PA,Crum L,McGovern PG,Hutchinson RG,Heiss G

    更新日期：1996-05-01 00:00:00

  • Do operator volumes relate to clinical outcomes after percutaneous coronary intervention in the Canadian health care system?

    abstract：BACKGROUND:Many US studies have documented an association between operator volume and outcomes after percutaneous coronary intervention (PCI). No study has assessed whether this relationship exists in Canada, where PCI is performed only at a limited number of regional centers and operator volumes are higher. METHODS:A...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ahj.2005.07.033

    authors： Cantor WJ,Hall R,Tu JV

    更新日期：2006-04-01 00:00:00

  • Extent of ischemic stimulus and plasma beta-endorphin levels in silent myocardial ischemia.

    abstract：BACKGROUND:Beta-endorphin has been reported to play a role in the mechanism of silent myocardial ischemia. OBJECTIVES:Plasma beta-endorphin levels during coronary angioplasty-induced silent and symptomatic myocardial ischemia were compared with those during exercise-induced silent ischemia. METHODS AND RESULTS:The st...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/s0002-8703(98)70039-0

    authors： Hikita H,Etsuda H,Takase B,Satomura K,Kurita A,Nakamura H

    更新日期：1998-05-01 00:00:00

  • Silent myocardial ischemia in patients with non-insulin-dependent diabetes mellitus as judged by treadmill exercise testing and coronary angiography.

    abstract：:Patients with diabetes were compared with nondiabetic control subjects, with respect to the prevalence of silent myocardial ischemia, by means of treadmill exercise testing and coronary angiography. Results of treadmill exercise testing showed ischemic ST depression in 41 of the 132 diabetic patients (mean age 61 +/- ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(92)90745-h

    authors： Naka M,Hiramatsu K,Aizawa T,Momose A,Yoshizawa K,Shigematsu S,Ishihara F,Niwa A,Yamada T

    更新日期：1992-01-01 00:00:00

  • Trends in health care resource use and expenditures in patients with newly diagnosed paroxysmal supraventricular tachycardia in the United States.

    abstract：BACKGROUND:Few data are available on the temporal patterns of health resource utilization (HRU) and expenditures around paroxysmal supraventricular tachycardia (PSVT) diagnosis. This study assessed the longitudinal trends in HRU and expenditures in the 3 years preceding and subsequent to PSVT diagnosis. METHODS:Adult ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2020.12.012

    authors： Chew DS,Sacks NC,Emden MR,Preib MT,Cyr PL,Wood D,Pokorney SD

    更新日期：2021-01-15 00:00:00

  • Safety, feasibility, and prognostic implications of pharmacologic stress echocardiography in 1482 patients evaluated in an ambulatory setting.

    abstract：BACKGROUND:The outpatient prognostic assessment of coronary artery disease (CAD) by exercise electrocardiography has limitations, including the feasibility of the test and its low positive predictive value in several clinical conditions. In the current study we investigated the safety, feasibility, and prognostic value...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1067/mhj.2001.113997

    authors： Cortigiani L,Picano E,Coletta C,Chiarella F,Mathias W,Gandolfo N,De Alcantara M,Mazzoni V,Gensini GF,Landi P,Echo Persantine International Cooperative (EPIC) Study Group.,Echo Dobutamine International Cooperative (EDIC) Study Group

    更新日期：2001-04-01 00:00:00

  • Comparison of the hypolipidemic effect of gemfibrozil versus simvastatin in patients with type III hyperlipoproteinemia.

    abstract：BACKGROUND:Type III hyperlipoproteinemia is characterized by the accumulation of chylomicron and very low density lipoprotein (VLDL) remnants. Individuals with this disorder have a high risk of premature atherosclerosis, and hypolipidemic drugs are useful in their management. METHODS:We compared, in a double-blind, pl...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0002-8703(99)70262-0

    authors： Civeira F,Cenarro A,Ferrando J,Puzo J,Garcia-Otín AL,Mozas P,Pocoví M

    更新日期：1999-07-01 00:00:00

  • Reduction of neointimal hyperplasia after coronary stenting by pioglitazone in nondiabetic patients with metabolic syndrome.

    abstract：BACKGROUND:This study investigates whether pioglitazone reduces neointimal hyperplasia after coronary stenting in nondiabetic patients with metabolic syndrome (MS) using intravascular ultrasound (IVUS). Pioglitazone, a novel insulin-sensitizing thiazolidinedione, has been shown to reduce neointimal hyperplasia after co...

    journal_title：American heart journal

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ahj.2007.02.022

    authors： Katayama T,Ueba H,Tsuboi K,Kubo N,Yasu T,Kuroki M,Saito M,Momomura S,Kawakami M

    更新日期：2007-05-01 00:00:00

  • Large brachial artery diameter is associated with angiographic coronary artery disease in women.

    abstract：BACKGROUND:Noninvasive methods are needed for the identification of women at highest risk for coronary artery disease (CAD) who might benefit most from aggressive preventive therapy. Identification of brachial artery atherosclerosis, which correlates with coronary artery atherosclerosis, may be useful to estimate or st...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1067/mhj.2002.121735

    authors： Holubkov R,Karas RH,Pepine CJ,Rickens CR,Reichek N,Rogers WJ,Sharaf BL,Sopko G,Merz CN,Kelsey SF,McGorray SP,Reis SE

    更新日期：2002-05-01 00:00:00

  • Isolated T wave alternans.

    abstract：:Two patients with isolated T wave alternans are reported, with their vectocardiograms, their response to carotid sinus stimulation, and the response to calcium infusion in one of them with documented severe hypocalcemia. Eleven cases of the literature are briefly reviewed. The alternans of the T wave appears with seve...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(78)90369-1

    authors： Navarro-Lopez F,Cinca J,Sanz G,Periz A,Magriña J,Betriu A

    更新日期：1978-03-01 00:00:00

  • Combination of B-type natriuretic peptide and peak oxygen consumption improves risk stratification in outpatients with chronic heart failure.

    abstract：BACKGROUND:Peak oxygen consumption is a cornerstone for prognostic determination in patients with congestive heart failure. The purpose of this study was to assess whether plasma B-type natriuretic peptide (BNP) provided any additional prognostic information. METHODS:Plasma concentrations of atrial natriuretic peptide...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/S0002-8703(03)00365-X

    authors： Isnard R,Pousset F,Chafirovskaïa O,Carayon A,Hulot JS,Thomas D,Komajda M

    更新日期：2003-10-01 00:00:00

  • The Italian Registry for hypertrophic cardiomyopathy: a nationwide survey.

    abstract：BACKGROUND:National registries are advocated as instrumental to the solution of rarity-related problems for patients with hypertrophic cardiomyopathy (HCM), including limited access to advanced treatment options. Thus, an Italian Registry for HCM was created to assess the clinical profile and the level of care nationwi...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2005.01.005

    authors： Cecchi F,Olivotto I,Betocchi S,Rapezzi C,Conte MR,Sinagra G,Zachara E,Gavazzi A,Rordorf R,Carnemolla G,Porcu M,Nistri S,Gruppillo P,Giampaoli S

    更新日期：2005-11-01 00:00:00

  • Circulating atrial natriuretic polypeptide in essential hypertension.

    abstract：:To investigate the significance of atrial natriuretic polypeptide (ANP) in essential hypertension, we measured plasma ANP concentrations in 43 subjects with essential hypertension uncomplicated by cardiac or renal failure, in 16 subjects with borderline hypertension, and in 17 normotensive control subjects. Plasma ANP...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(87)90929-x

    authors： Kohno M,Yasunari K,Matsuura T,Murakawa K,Takeda T

    更新日期：1987-05-01 00:00:00

  • Reciprocal rhythm in patients with normal electrocardiogram: Evidence for dual conduction pathways.

    abstract：:The present study refers to six patients in whom an A-V reciprocal rhythm could be documented; in four cases it took the form of sustained tachycardia. None of the patients showed any ECG feature of ventricular pre-excitation (PR interval of more than 0.12 sec. and normal QRS configuration). The extrastimulus method s...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/s0002-8703(76)80427-9

    authors： Touboul P,Huerta F,Porte J,Delahaye JP

    更新日期：1976-01-01 00:00:00

  • Prognosis in relation to high-sensitivity cardiac troponin T levels in patients with myocardial infarction and non-obstructive coronary arteries.

    abstract：BACKGROUND:Myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA) is a recently recognized condition where biomarkers and prognosis are less well studied than in MI with obstructive coronary artery disease (MI-CAD). We therefore aimed to investigate the one-year prognostic value of high-sensitivity ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2018.03.005

    authors： Hjort M,Lindahl B,Baron T,Jernberg T,Tornvall P,Eggers KM

    更新日期：2018-06-01 00:00:00

  • Effect of viscosity and iodine concentration of nonionic radiographic contrast media on coronary arteriography in patients.

    abstract：:To assess the influence of viscosity and iodine concentration, three matched and standardized left coronary arteriograms were obtained in 20 patients using iopamidol (Isovue-370), ioversol (Optiray-320), and iohexol (Omnipaque-350). The order of contrast media was randomized and the administration of contrast was doub...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0002-8703(92)90760-s

    authors： Kern MJ,Roth RA,Aguirre FV,Beauman G,Vogel R

    更新日期：1992-01-01 00:00:00

  • Electrophysiologic and antiarrhythmic actions of nadolol: acute ischemia in the presence of previous myocardial infarction.

    abstract：:The actions of the beta-adrenergic receptor antagonist, d,l-nadolol, were examined in anesthetized dogs subjected to circumflex coronary artery ligation in the presence of previous anterior myocardial infarction. With circumflex ligation, control dogs (N = 18) developed premature ventricular beats and ventricular tach...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(88)90444-9

    authors： Patterson E,Lucchesi BR

    更新日期：1988-11-01 00:00:00

  • Percutaneous transluminal coronary angioplasty of the left coronary artery in patients with chronic occlusion of the right coronary artery: clinical and functional results.

    abstract：:The safety and therapeutic benefits of percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery, the left circumflex coronary artery or both were assessed in 61 patients with chronic (greater than 3 months) occlusion of the right coronary artery. Recanalization of the right corona...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(91)90994-s

    authors： De Bruyne B,Renkin J,Col J,Wijns W

    更新日期：1991-08-01 00:00:00

  • Cardiac transplantation for the cardiologist not trained in transplantation.

    abstract：:This review focuses on selected aspects of the treatment of patients being evaluated for and undergoing cardiac transplantation. Cardiac transplantation is a potential therapeutic option for a variety of irreversible cardiac disorders when the symptomatic status and anticipated survival after transplantation exceeds t...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/0002-8703(95)90288-0

    authors： Taylor AJ,Bergin JD

    更新日期：1995-03-01 00:00:00

  • Phenylephrine plus propranolol improves the balance between myocardial oxygen supply and demand during experimental cardiopulmonary resuscitation.

    abstract：:Epinephrine increases coronary blood flow but may not improve the balance between myocardial oxygen supply and demand during cardiopulmonary resuscitation (CPR). The objective of this study was to determine whether this balance can be improved by administering a relatively pure alpha-adrenergic vasoconstrictor, alone ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(94)90120-1

    authors： Ditchey RV,Slinker BK

    更新日期：1994-02-01 00:00:00

  • A randomized, placebo-controlled trial of early eptifibatide for non-ST-segment elevation acute coronary syndromes.

    abstract：BACKGROUND:The acute benefits of platelet glycoprotein IIb/IIIa inhibitors for non-ST-segment elevation acute coronary syndromes (NSTE ACS) remain unclear. METHODS:In this pilot trial, 311 patients with NSTE ACS were randomly assigned in the emergency department to double-blinded therapy with eptifibatide or placebo f...

    journal_title：American heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/S0002-8703(03)00517-9

    authors： Roe MT,Christenson RH,Ohman EM,Bahr R,Fesmire FM,Storrow A,Mollod M,Peacock WF,Rosenblatt JA,Yang H,Fraulo ES,Hoekstra JW,Gibler WB,EARLY Investigators.,Emergency Medicine Cardiac Research and Education Group.

    更新日期：2003-12-01 00:00:00

  • Design and rationale of a pragmatic trial integrating routine screening for atrial fibrillation at primary care visits: The VITAL-AF trial.

    abstract：:Given the preventable morbidity and mortality associated with atrial fibrillation (AF), increased awareness of undiagnosed AF, and advances in mobile electrocardiogram (ECG) technology, there is a critical need to assess the effectiveness of using such technology to routinely screen for AF in clinical practice. VITAL-...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ahj.2019.06.011

    authors： Ashburner JM,Atlas SJ,McManus DD,Chang Y,Trisini Lipsanopoulos AT,Borowsky LH,Guan W,He W,Ellinor PT,Singer DE,Lubitz SA

    更新日期：2019-09-01 00:00:00

  • Mitral valve prolapse in anxiety neurosis (panic disorder).

    abstract：:Our purpose was to determine the incidence of mitral valve prolapse in patients with anxiety neurosis or panic disorder, with symptoms including recurrent anxiety attacks, dyspnea, palpitations, chest pain, dizziness, and paresthesias. Twenty-one patients and 20 age- and sex-matched normal controls were studied. Objec...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(80)90142-8

    authors： Venkatesh A,Pauls DL,Crowe R,Noyes R Jr,Van Valkenburg C,Martins JB,Kerber RE

    更新日期：1980-09-01 00:00:00

  • Elevated resting heart rate is an independent risk factor for cardiovascular disease in healthy men and women.

    abstract：BACKGROUND:Elevated resting heart rate (RHR) is known to be associated with reduced survival but inconsistencies remain, including lack of significance in most studies of healthy women, lack of independence from systolic blood pressure (SBP) in some, and the suggestion that RHR is merely functioning as a marker of phys...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2009.12.029

    authors： Cooney MT,Vartiainen E,Laatikainen T,Juolevi A,Dudina A,Graham IM

    更新日期：2010-04-01 00:00:00

  • Ventricular pacing threshold and refractoriness after defibrillation shocks in patients with implantable cardioverter-defibrillators.

    abstract：:The aim of this study was to examine the effect of ventricular fibrillation and a subsequent defibrillation shock on ventricular excitability and refractoriness in human beings. We studied 16 consecutive patients with implantable cardioverter-defibrillators undergoing follow-up studies. The pre- and post-shock pacing ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/s0002-8703(96)90086-1

    authors： Yu JC,Lauer MR,Young C,Liem B,Peterson J,Ottoboni L,Sung RJ

    更新日期：1996-06-01 00:00:00

  • Value and limitations of Doppler ultrasound in the evaluation of aortic stenosis: a statistical analysis of 70 consecutive patients.

    abstract：:Continuous-mode Doppler ultrasound and cardiac catheterization were performed within 1.4 +/- 2.0 days in 70 patients, aged 26 to 84 (mean 67 +/- 11) years, with suspected aortic stenosis. Optimal Doppler spectral display signal was recorded from the apical window in 43% of the patients, the second or third right paras...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(86)90694-0

    authors： Panidis IP,Mintz GS,Ross J

    更新日期：1986-07-01 00:00:00

  • Effects of dexamethasone elution on tissue reaction around stimulating electrodes of endocardial pacing leads in dogs.

    abstract：:A pair of endocardial pacemaker leads, identical except for the presence or absence of dexamethasone elution from the distal stimulating electrode, was implanted into the right ventricle of each of 12 dogs for either 3 weeks (n = six pairs) or 6 weeks (n = six pairs). Fibrous connective tissue sheaths (0.04 to 0.20 mm...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(89)90408-0

    authors： Radovsky AS,Van Vleet JF

    更新日期：1989-06-01 00:00:00