caa a22 4500 47582377X CHVBK 20180406123825.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1023/A:1018604513703 doi (NATIONALLICENCE)springer-10.1023/A:1018604513703 Prevention of Left Ventricular Remodeling by Percutaneous Transluminal Coronary Angioplasty Performed 24 Hours After the Onset of Acute Myocardial Infarction [Elektronische Daten] [Ken Kanamasa, Kinji Ishikawa, Iwao Ogawa, Takayuki Nakabayashi] It remains controversial whether percutaneous transluminal coronary angioplasty (PTCA) performed 24 hours after the onset of acute myocardial infarction (AMI) in coronary arteries with 99% stenosis is useful in preserving left ventricular function. We investigated the effectiveness of PTCA in preventing left ventricular remodeling when it was performed 24 hours after the onset of AMI in infarct-related coronary arteries (IRCAs) having 99% stenosis and thrombolysis in myocardial infarction (TIMI) grade 3 flow. The subjects were 19 patients with AMI (anterior wall, 9 patients; inferior wall, 7 patients; and non-Q, 3 patients) who, within 24 hours of the onset of AMI, underwent coronary angiography and left ventriculography during the acute and/ or chronic phases. The patients were divided into a PTCA group, comprised of patients in whom PTCA was successfully performed 24 hours after the onset of AMI (n = 10), and a non-PTCA group (n = 9). The non-PCTA group included patients who were successfully reperfused by thrombolysis and did not include patients who had spontaneous reperfusion or reperfusion after PTCA. In the non-PTCA group, the left ventricular end-diastolic volume (mean ± SD) was significantly increased in the chronic phase (86 ± 23 mL/m2 as compared with the acute phase (67 ± 13 mL/m2, whereas in the PTCA group no significant difference was observed between end-diastolic volumes in the acute and chronic phases (67 ± 26 and 68 ± 13 mL/m2, respectively). Left ventricular remodeling is prevented by PTCA when it is performed 24 hours after the onset of AMI in IRCAs with 99% stenosis and TIMI grade 3 flow. Kluwer Academic Publishers, 2000 left ventricular remodeling nationallicence acute myocardial infarction nationallicence late reperfusion nationallicence Kanamasa Ken The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut Ishikawa Kinji The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut Ogawa Iwao The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut Nakabayashi Takayuki The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut Journal of Thrombosis and Thrombolysis Kluwer Academic Publishers 9/1(2000-01-01), 47-51 0929-5305 9:1<47 2000 9 11239 https://doi.org/10.1023/A:1018604513703 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1018604513703 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kanamasa Ken The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut NATIONALLICENCE 700 1- Ishikawa Kinji The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut NATIONALLICENCE 700 1- Ogawa Iwao The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut NATIONALLICENCE 700 1- Nakabayashi Takayuki The First Department of Internal Medicine, Kinki University School of Medicine, Ohno-Higashi 377-2, 589-8511, Osaka-Sayama, Osaka, Japan aut NATIONALLICENCE 773 0- Journal of Thrombosis and Thrombolysis Kluwer Academic Publishers 9/1(2000-01-01), 47-51 0929-5305 9:1<47 2000 9 11239 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer