Publications by authors named "Jose Maria Goncalves"
Article Synopsis
- Primary angioplasty is the preferred treatment for acute myocardial infarction within the first 12 hours, but success rates depend on the center's experience and volume, thus emphasizing the need for continuous quality monitoring.
- The study analyzed retrospective data from 1157 patients treated with primary PCI at Santa Marta Hospital between 2001 and 2007, revealing a mean patient age of 61 and a notable primary angiographic success rate of 88%.
- Results showed an in-hospital mortality rate of 6.9%, with certain factors like previous heart failure, age over 75, and cardiogenic shock linked to higher mortality risk, indicating that simple clinical characteristics can help identify at-risk patients.
Background: Primary coronary angioplasty is the best therapeutic approach in acute myocardial infarction (AMI), and more so in the population aged over 75 years, in whom the hemorrhagic risk of thrombolysis becomes almost unacceptable.
Aim: To evaluate age-related influences on clinical evolution and in-hospital mortality in patients with AMI who undergo primary percutaneous coronary interventions (PCI).
Methods: We studied 245 consecutive patients (aged between 31 and 90, 63+/-13), who underwent primary PCI between January 2000 and December 2001.
Background: In acute myocardial infarction (AMI), primary percutaneous transluminal coronary angioplasty (PTCA) has proved to be the best therapeutic approach. Several factors have been associated with worse outcome in AMI in females. Are there differences in outcome in women undergoing PTCA for AMI?
Aim: To evaluate gender influence on clinical outcome and in-hospital mortality in patients with AMI who undergo primary percutaneous interventions.
Introduction: A systematic invasive therapeutic strategy for acute coronary syndromes (ACS) is currently accepted as safe and effective and evidence is growing for its superiority compared to a conservative attitude. Elderly patients, given their greater susceptibility, are frequently excluded from this approach, and this may limit the potential benefits.
Objective: To evaluate the influence of age on the characteristics and clinical evolution of patients with ACS treated by an invasive strategy and to determine whether this in itself limits its adoption.
Background: In ST-segment elevation myocardial infarction (STEMI) patients treated with primary angioplasty, neutrophil response and its prognostic significance are not entirely understood.
Methods: We retrospectively studied 305 consecutive and non-selected STEMI patients. They were divided into three groups according to the maximum neutrophil percentage in the first 48 hours.
Background: There is some controversy about the ideal type of revascularization in the context of primary angioplasty (percutaneous coronary intervention--PCI) for acute myocardial infarction (AMI). The presence of additional stenosis, especially if complex, can have an impact on prognosis.
Objectives: To evaluate medium-term (1-year) prognosis according to the presence of complex additional stenosis after primary PCI.