Dussaillant G, Martínez A, Marchant E, Fajuri A, Castro P, Corbalán R
Departamento de Enfermedades Cardiovasculares, Facultad de Medicina, Universidad Católica de Chile, Santiago.
Rev Med Chil. 1994 Apr;122(4):401-7.
Between March 1990 and July 1993, 21 patients with an evolving acute myocardial infarction were treated with coronary angioplasty after 2-9 hours of chest pain (mean 3.9). Thirteen had a clinically and electrocardiographically large infarction, including 3 in cardiogenic shock. The dilated arteries were the left anterior descending in 14, the left circumflex in 4 and right coronary artery in 3 patients. With angioplasty successful reperfusion of the infarct area was obtained in 18 patients (86%). The procedure was well tolerated by most patients and the in-hospital mortality rate was 5%.
1990年3月至1993年7月期间，21例急性心肌梗死进展期患者在胸痛2至9小时（平均3.9小时）后接受了冠状动脉血管成形术治疗。其中13例患者临床上和心电图显示为大面积梗死，包括3例心源性休克患者。扩张的动脉在14例患者中为左前降支，4例为左旋支，3例为右冠状动脉。血管成形术使18例患者（86%）成功实现梗死区域再灌注。大多数患者对该手术耐受性良好，住院死亡率为5%。
