Key result
Younger age linked to ~43% higher post-thrombolysis angiography use, selecting lower-risk patients.
Population
21,772 U.S. patients treated with thrombolysis for acute myocardial infarction in the first Global…
Design
Cohort
Follow-up
until hospital discharge
Authors
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May bias post-thrombolysis angiography toward lower-risk patients; leaves open whether routine use benefits higher-risk AMI groups.
Observational (n=21,772)
Yes
Younger age and facility capabilities, rather than clinical risk, primarily drive the use of angiography after thrombolysis for acute myocardial infarction, potentially selecting lower-risk patients for intervention.
Pilote et al. (1996) conducted an observational in Acute Myocardial Infarction (n=21,772). Coronary angiography and revascularization was evaluated on Predictors of the use of angiography and revascularization procedures. Younger age and angioplasty availability were the major determinants of coronary angiography use after thrombolysis (76% vs 53% for age <73 vs ≥73), selecting lower-risk patients for intervention.
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