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April 14, 2005HeartOpen Access

Is routine stenting for acute myocardial infarction superior to balloon angioplasty? A randomised comparison in a large cohort of unselected patients

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Why the study?

Does routine stenting reduce combined death or reinfarction compared to balloon angioplasty in unselected patients with STEMI?

Population

1683 consecutive unselected patients presenting with ST segment elevation myocardial infarction. No…

Comparison

Routine stenting vs Balloon angioplasty

Design

RCT, Randomly assigned before angiography

Follow-up

1 year

Authors

HSHarry SuryapranataInterventional Cardiology

Discussion

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Implication

Stenting does not reduce death or reinfarction versus balloon angioplasty in STEMI; confirms no clinical superiority of routine stenting in unselected patients.

Structured PICO

Does routine stenting reduce combined death or reinfarction compared to balloon angioplasty in unselected patients with STEMI?

P
Population
1683 consecutive unselected patients presenting with ST segment elevation myocardial infarction (STEMI). No exclusion criteria were applied.
I
Intervention
Routine stenting
C
Comparator
Balloon angioplasty
O
Outcome
Combined death or reinfarction at one year's follow upcomposite

Routine stenting did not significantly reduce the composite of death or reinfarction at one year compared to balloon angioplasty in unselected STEMI patients.

Cite This Study

Harry Suryapranata (2005) studied this question.

synapsesocial.com/papers/6a70900b35aa2c282ce1e21bhttps://doi.org/10.1136/hrt.2004.056705
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Comparison of Immediate Coronary Angioplasty with Intravenous Streptokinase in Acute Myocardial Infarction1993 · 1,298 citations
  2. 2A Comparison of Immediate Angioplasty with Thrombolytic Therapy for Acute Myocardial Infarction1993 · 2,004 citations
  3. 3Effectiveness of Clopidogrel and Aspirin Versus Ticlopidine and Aspirin in Preventing Stent Thrombosis After Coronary Stent Implantation1999 · 352 citations
  4. 4Randomized Comparison of Coronary Stenting With Balloon Angioplasty in Selected Patients With Acute Myocardial Infarction1998 · 349 citations
  5. 5Angiographic Assessment of Myocardial Reperfusion in Patients Treated With Primary Angioplasty for Acute Myocardial Infarction1998 · 1,308 citations