Why the study?
Does a risk function including predischarge coronary angiography improve late mortality prediction compared to clinical data and non-invasive testing in hospital survivors of acute myocardial infarction after thrombolysis?
Population
1043 hospital survivors of acute myocardial infarction treated with thrombolysis
Comparison
Risk function including predischarge coronary… vs Risk functions based on clinical data and…
Design
Cohort
Follow-up
1 to 489 days for deaths, 34 to 1106 days for survivors
Authors
Loading...
May not warrant routine predischarge angiography for post-thrombolysis risk stratification; leaves open selective use in higher-risk subgroups.
Does a risk function including predischarge coronary angiography improve late mortality prediction compared to clinical data and non-invasive testing in hospital survivors of acute myocardial infarction after thrombolysis?
Routine predischarge coronary angiography does not improve mortality prediction over clinical and non-invasive data in post-MI patients treated with thrombolysis, identifying a large low-risk cohort that does not benefit from the procedure.
Arnold et al. (1993) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: