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J Am Coll Cardiol, 2002; 39:591-597
© 2002 by the American College of Cardiology Foundation
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Impact of normalized myocardial perfusion after successful angioplasty in acute myocardial infarction

Gregg W. Stone, MD, FACC*,*, Michael A. Peterson, MD{dagger}, Alexandra J. Lansky, MD, FACC*, George Dangas, MD, FACC*, Roxana Mehran, MD, FACC* and Martin B. Leon, MD, FACC*

* Cardiovascular Research Foundation, Lenox Hill Heart and Vascular Institute, New York, New York, USA
{dagger} The Washington Hospital Center, Washington, DC, USA



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Figure 1 Rates of Thrombolysis In Myocardial Infarction (TIMI) flow grades and myocardial blush scores by separate core laboratory analysis before (left) and after (right) procedure.

 


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Figure 2 Infarct size as estimated by peak serum creatine phosphokinase-MB isozyme (CPK-MB) levels after intervention, stratified by myocardial blush score, in all 173 patients (left) and in 163 patients in whom Thrombolysis In Myocardial Infarction (TIMI)-3 flow was also restored (right).

 


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Figure 3 Cumulative survival (including in-hospital and late events) after percutaneous intervention in 173 patients with acute myocardial infarction, stratified by final procedural Thrombolysis In Myocardial Infarction (TIMI) flow (left) and myocardial blush score (right). P values represent log rank for trend.

 


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Figure 4 Cumulative survival after intervention in 163 patients in whom Thrombolysis In Myocardial Infarction (TIMI)-3 flow was achieved, stratified by status of myocardial perfusion.

 


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Figure 5 Cumulative survival after intervention in 163 patients in whom Thrombolysis In Myocardial Infarction (TIMI)-3 flow was achieved, stratified by status of myocardial perfusion, and subgrouped by myocardial infarct distribution (left) and the presence or absence of cardiogenic shock at baseline (right).

 





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Copyright © 2002 by the American College of Cardiology Foundation.