Late revascularization reduces mortality in survivors of myocardial infarction

L. D. Hillis, J. E. Cigarroa, R. A. Lange

    Research output: Contribution to journalReview article

    15 Scopus citations

    Abstract

    In survivors of acute myocardial infarction, the restoration of antegrade flow in the infarct-related coronary artery may improve prognosis by a mechanism that is independent of its influence on left ventricular systolic performance. Furthermore, survival may be improved even when antegrade flow is restored days or even weeks after the acute event. In several retrospective studies of survivors of infarction, we and others have shown a) that long-term survival is substantially better in those with - as opposed to those without - antegrade flow in the infarct-related coronary artery, and b) that the mechanical restoration of flow in an occluded infarct-related artery (accomplished with balloon angioplasty or bypass grafting) markedly improves long-term survival. The late restoration of antegrade flow in the infarct-related artery appears to render the so-called border zone of infarction less electrically unstable, thereby reducing the likelihood of ventricular tachyarrhythmias and sudden death.

    Original languageEnglish (US)
    Pages (from-to)144-148
    Number of pages5
    JournalCardiology in Review
    Volume7
    Issue number3
    DOIs
    StatePublished - Jan 1 1999

    Keywords

    • Infarct-related coronary artery
    • Mechanical revascularization
    • Open artery hypothesis

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

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