BACKGROUND: Patency of an @entity1188 may be achieved by the use of primary coronary angioplasty or thrombolysis. In spite of the growing number of reports dealing with this topic, controversies exist as to the superiority of either of these therapeutic options. Moreover, the role of primary angioplasty has not yet been clearly defined in the guidelines of the Polish Cardiac Society. AIM: To compare mortality in the acute phase of @entity583 ( @entity583 ) in @entity1 treated with primary angioplasty versus @entity1 receiving thrombolytic treatment. METHODS: Using prospectively collected data from all consecutive @entity1 with @entity583 admitted to our institution, we analysed retrospectively mortality in @entity1 treated with primary angioplasty versus those who received thrombolysis. RESULTS: Between May 1996 and October 2000, 657 @entity1 with @entity583 were hospitalised. Of this group, in 66 (10%) @entity1 primary angioplasty was performed, and 278 (42.3%) received thrombolysis. @entity1455 complicated @entity583 in 20 (30%) @entity1 treated with angioplasty and in 19 (7%) thrombolysed @entity1 . Total mortality in the acute phase of @entity583 was 12 (18.2%) @entity1 in the angioplasty group versus 26 (9.4%) @entity1 in the medically treated group (p<0.05). Mortality among @entity1 with @entity1455 was significantly higher in those who received thrombolysis than in those who underwent angioplasty [17 (89.5%) @entity1 versus 11 (55%) @entity1 (p<0.05)] and tended to be higher among @entity1 without @entity1455 [9 (3%) thrombolysed @entity1 versus 1 (2.2%) @entity1 who underwent angioplasty, @entity7031 ]. CONCLUSIONS: Primary coronary angioplasty improves the outcome in @entity1 with @entity583 complicated by @entity1455 and tends to decrease mortality among @entity1 without @entity1455 .

PRimary coronary angioplasty versus thrombolytic therapy. Comparison of mortality in the acute phase of XXXX - a single centre experience.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity7031 :: ('MESH:D056770', 'Disease') :: ['NS'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarct-related artery'] @entity583 :: ('MESH:D009203', 'Disease') :: ['acute MI', 'myocardial infarction', 'MI'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['Cardiogenic shock', 'cardiogenic shock']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
