distributed equally, except that prior CABG pts There had PICA less often (14% vs. 20%, p=.Oa). was considerable inter-hospital variation in thz use of these procedures in the prior CABG group. in the intervention group was Hospital mortality ioh CABG (12.3% vs. ok-i~te~e~tio~ vely
(pz.43).
s still associated with he interwention group careful attention to (p= ,012) * In conclusion, patient selection and choice of reperfusion strategy is required in this high risk group.
ille factor (VWF) and This study evaluates the role of van 0~s of reinfarctioo established cardiovascular risk factors as p ortality. In 9982- 1983. 123 consecutive and cardiovascular survivors of acute myocardial infarction (AM!) were entered into onths after discharge from the study. They were led 3 vWF was measured by an I. In citrated pl sample Lit&d levels and clinica! risk facto15 were also recorded. The mean -observation time was 4.9 years, ring which 23 patients h concentration5 of died and 36 had at least one reinfarctio~ nderrtly associated with both reinfarction and mortality in Cox regression analyses. The risk increased progressively through the quartiles of the vWF levels. A history of angina pect is was also independently associated with bOth was independently associated with endpoints. ypertension not with reinfarction. Serum cholesterol and mortality b triglycerides, and fibrinolytic activity, were trot associated with these endpoints. which is synthesized in We conclude that ~~dotbel~um and can dysfunction. emerges useful addition to the arsena! of means of identifying group for reinfarction and death among patients with A