Title of article :
Relation between late patency of the infarct-related artery, left ventricular function, and clinical outcomes after primary percutaneous intervention for acute myocardial infarction (CADILLAC trial)
Author/Authors :
Halkin، نويسنده , , Amir and Aymong، نويسنده , , Eve and Cox، نويسنده , , David A. and Mehran، نويسنده , , Roxana and Lansky، نويسنده , , Alexandra J. and Fahy، نويسنده , , Martin and Weisz، نويسنده , , Giora and Garcia، نويسنده , , Eulogio and Tcheng، نويسنده , , James E. and Grines، نويسنده , , Cindy L. and Stone، نويسنده , , Gregg W.، نويسنده ,
Abstract :
The importance of sustained patency of the infarct-related artery after primary percutaneous coronary intervention for acute myocardial infarction is controversial. We examined serial measures of left ventricular function and clinical outcomes in 280 patients with an initially occluded infarct artery in whom Thrombolysis In Myocardial Infarction trial grade 3 flow was achieved and routine follow-up angiography was performed 7 months after percutaneous cor-onary intervention. Reocclusion of the infarct artery was associated with decreased event-free survival, and the degree of restenosis was an independent predictor of the lack in improvement in left ventricular ejection fraction over time.