Related trials
ZEST AMI (vs SES), 2009 - zotarolimus ES vs sirolimus ES
TRIANA, 2009 - primary ballon angioplasty vs tenecteplase
DEBATER (SES vs BMS), 2009 - sirolimus ES vs bare-metal stent
NORDISTEMI, 2009 - thrombolysis + angioplasty vs immediate thrombolysis
Juwana, 2009 - sirolimus ES vs paclitaxel ES
ZEST AMI (vs PES), 2009 - zotarolimus ES vs paclitaxel ES
PASEO, 2009 - drug ES vs bare-metal stent
CARESS, 2008 - thrombolysis + angioplasty vs immediate thrombolysis
HORIZONS-AMI Stent, 2008 - paclitaxel ES vs bare-metal stent
MISSION, 2008 - sirolimus ES vs bare-metal stent
DEDICATION, 2008 - drug ES vs bare-metal stent
Díaz de la Llera, 2007 - sirolimus ES vs bare-metal stent
SESAMI, 2007 - sirolimus ES vs bare-metal stent
TYPHOON, 2006 - sirolimus ES vs bare-metal stent
PROSIT, 2006 - sirolimus ES vs paclitaxel ES
HAAMU-STENT, 2006 - paclitaxel ES vs bare-metal stent
PASSION, 2006 - paclitaxel ES vs bare-metal stent
WEST, 2006 - systematic PCI (+stent) vs no systematic PCI
CAPITAL AMI, 2005 - thrombolysis + angioplasty vs immediate thrombolysis
Di Lorenzo et al., 2005 - sirolimus ES vs paclitaxel ES
ZWOLLE 6, 2005 - primary stenting vs ballon angioplasty
CAPITAL AMI, 2005 - systematic PCI (+stent) vs no systematic PCI
senior PAMI, 2005 - primary PCI vs thrombolytic therapy
STOPAMI 3, 2004 - primary stenting vs ballon angioplasty
GRACIA-1, 2004 - systematic PCI (+stent) vs no systematic PCI
See also:
All acute myocardial infarction clinical trials
All clinical trials of PCI
All clinical trials of immediate systematic ballon angioplastyte
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Treatments
| Studied treatment |
Angioplasty within 120 min (after rtPA)
|
| Control treatment |
defered CA (7-10 days) and angioplasty if indicated
|
| Concomittant treatment |
rtPA or placebo |
Patients
| Patients |
patients with acute myocardial infarction. |
| Inclusion criteria |
patent vessel, stenosis >50%, delay from symptoms < 6h
|
| Exclusion criteria |
multivessels or diffuse lesions |
Method and design
| Randomized effectives |
99 / 98 (studied vs. control) |
| Design |
parallel group |
| Blinding |
open |
| Follow-up duration |
in hospital |
| Number of centre |
15 |
| Geographic area |
USA |
| Primary endpoint |
LV function |
Results
Endpoint
Studied treat. n/N
Control treat. n/N
Graph
RR [95% CI]
In-hospital death
4 / 99
15 / 98
0,26 [0,09;0,77]
CABG
15 / 99
15 / 98
0,99 [0,51;1,91]
Reocclusion
11 / 99
13 / 98
0,84 [0,39;1,78]
0
2
1.0
|
Relative risks
|
| Endpoint |
Events (%) |
Relative Risk |
95% CI |
Endpoint definition in the trial |
Ref |
| Studied treat. |
Control treat. |
|
In-hospital death
|
4 / 99 (4,0%) |
15 / 98 (15,3%) |
0,26 |
[0,09;0,77] |
|
|
|
CABG
|
15 / 99 (15,2%) |
15 / 98 (15,3%) |
0,99 |
[0,51;1,91] |
|
|
|
Reocclusion
|
11 / 99 (11,1%) |
13 / 98 (13,3%) |
0,84 |
[0,39;1,78] |
|
|
|
The primary endpoint (if exists) appears in blod characters
|
|
Reference(s) used for data extraction:
0:
|
| Endpoint |
studied treat. |
control treat. |
mean diff |
|
Absolute risk reduction
|
| Endpoint |
Events rate |
Absolute risk reduction (ARR) |
| Studied treat. |
Control treat. |
| In-hospital death |
4,04% |
15,31% |
-112,7‰
|
| CABG |
15,15% |
15,31% |
-1,5‰
|
| Reocclusion |
11,11% |
13,27% |
-21,5‰
|
Reference(s)
-
Topol EJ, Califf RM, George BS, Kereiakes DJ, Abbottsmith CW, Candela RJ, Lee KL, Pitt B, Stack RS, O'Neill WW.
A randomized trial of immediate versus delayed elective angioplasty after intravenous tissue plasminogen activator in acute myocardial infarction..
N Engl J Med 1987 Sep 3;317:581-8
Pubmed
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Hubmed
| Fulltext
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