Abstract：
BACKGROUND:Although the introduction of primary percutaneous coronary interventions (PCI) improved the outcome of patients with acute myocardial infarction (MI), diabetes remains a significant factor which worsens prognosis. AIM:To compare the immediate and in-hospital results of PCI in patients with acute MI with or without diabetes. METHODS:The outcome of 139 patients with diabetes and 528 patients without diabetes was compared. Thrombolytic therapy was administered prior to PCI to 43.2% of patients with diabetes and 42.4% of patients without diabetes. RESULTS:Patients with diabetes were older, more frequently of female gender and had higher incidence of hypertension as well as multi-vessel coronary artery disease. PCI was effective in 85.6% of diabetics and 90.2% of non-diabetic patients (NS). The reocclusion rate was significantly higher in diabetics than in non-diabetics (11.5% vs 5.5%, p=0.012) whereas the incidence of haemorrhagic complications was similar. Mortality rates were comparable in both groups (7.2% in diabetics vs 5.9% in non-diabetics, NS). CONCLUSIONS:1) Immediate efficacy of primary PCI for acute MI is similar in diabetics and non-diabetics, however, the in-hospital reocclusion rate is higher in the former group of patients. 2) In-hospital mortality is not affected by the presence of diabetes. 3) Thrombolytic and invasive treatment of diabetic patients with acute MI is not associated with an increased risk of bleeding.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Gasior M,Wasilewski J,Gierlotka M,Zebik T,Lekston A,Wojnar R,Kondys M,Szkodziński J,Wilczek K,Wnek A,Piegza J,Dyrbuś K,Hawranek M,Szyguła-Jurkiewicz B,Honisz G,Kalarus Z,Poloński Lsubject
Has Abstractpub_date
2003-06-01 00:00:00pages
438-48; discussion 448issue
6eissn
0022-9032issn
1897-4279journal_volume
58pub_type
杂志文章abstract：:A 25-year-old woman, gravida 2, para 1, without any previous medical history was admitted to the hospital because of the signs and symptoms of fetal distress. After a caesarean section the woman developed an acute heart failure. Echocardiography demonstrated massive vegetations attached to aortic and mitral valves wit...
journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND:Primary percutaneous coronary intervention (PPCI) is regarded as the treatment of choice for ST elevation myocardial infarction (STEMI) patients. It has been emphasised that only experienced centres with round-the-clock cathlab facilities should perform PPCI. Some investigators have doubted whether PPCI perf...
journal_title：Kardiologia polska
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更新日期：2011-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
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更新日期：1991-01-01 00:00:00
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journal_title：Kardiologia polska
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journal_title：Kardiologia polska
pub_type： 杂志文章
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更新日期：2010-07-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
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更新日期：2011-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
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更新日期：2003-11-01 00:00:00
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pub_type： 杂志文章
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2009-03-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2010-02-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
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更新日期：2013-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2009-06-01 00:00:00
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pub_type： 杂志文章
doi：
更新日期：2010-05-01 00:00:00
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更新日期：2018-01-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
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journal_title：Kardiologia polska
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更新日期：1990-01-01 00:00:00
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pub_type： 杂志文章,meta分析
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
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journal_title：Kardiologia polska
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2009-02-01 00:00:00
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journal_title：Kardiologia polska
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