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Outcomes Worse For Inhospital Stent Thrombosis

Wed, 05/09/2012 - 7:04am
Todd Neale

Among patients who underwent primary percutaneous coronary intervention (PCI) for an ST-segment elevation MI (STEMI), outcomes were worse if stent thrombosis occurred in rather than out of the hospital, researchers found.

Patients whose event occurred in the hospital were more likely to die within 1 year compared with those whose event occurred outside of the hospital (27.8 percent versus 10.8 percent; HR 4.62, P=0.007), according to George Dangas, MD, PhD, of Mount Sinai Medical Center in New York City, and colleagues.

Those with an inhospital stent thrombosis also had a higher rate of non-CABG-related major bleeding (21.2 percent versus 6 percent, P=0.006) but a lower rate of reinfarction (56.6 percent versus 77.5 percent, P=0.005), the researchers reported in the May 15 issue of the Journal of the American College of Cardiology.

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