Table 3. Clinical outcomes with different reperfusion strategies.
Variables | Fibrinolysis (N = 160) | Primary PCI (N = 1000) | No reperfusion (N = 1922) | P value |
---|---|---|---|---|
Death | 24 (15.0%) | 77 (7.7%) | 383 (19.9%) | <0.001 |
Cardiac death | 23 (14.4%) | 73 (7.3%) | 357 (18.6%) | <0.001 |
Non-cardiac death | 1 (0.6%) | 4 (0.6%) | 26 (1.4%) | 0.028 |
Recurrent MI | 3 (1.9%) | 7 (0.7%) | 16 (0.8%) | 0.412 |
Ischemia driven revascularization | 0 (0.0%) | 9 (0.9%) | 3 (0.2%) | 0.007 |
MI-related complications | ||||
Heart failure | 46 (28.8%) | 177 (17.7%) | 636 (33.1%) | <0.001 |
Mechanical complications | 3 (1.9%) | 5 (0.5%) | 35 (1.8%) | 0.006 |
VT/VF | 7 (7.5%) | 32 (5.2%) | 65 (5.1%) | 0.636 |
Cardiac arrest | 10 (6.3%) | 36 (3.6%) | 192 (10.0%) | <0.001 |
Cerebral events | 3 (1.9%) | 17 (1.7%) | 29 (1.5%) | 0.889 |
Hemorrhage stroke | 1 (0.6%) | 3 (0.3%) | 1 (0.1%) | 0.094 |
Other major bleeding | 8 (5.0%) | 30 (3.0%) | 59 (3.1%) | 0.439 |
Transfusion | 1 (0.6%) | 9 (0.9%) | 11 (0.6%) | 0.605 |
IABP support | 1 (0.6%) | 73 (7.3%) | 31 (1.6%) | <0.001 |
Pulmonary embolism | 0 (0.0%) | 0 (0.0%) | 3 (0.2%) | 0.244 |
ICU or CCU stay (d) | 4 (1, 7) | 3 (2, 6) | 3 (0, 7) | <0.001 |
Normal ward stay (d) | 6 (0, 11) | 5 (3, 8) | 5 (1, 10) | 0.606 |
MI, myocardial infarction; VT/VF, ventricular tachycardia/ventricular fibrillation; IABP, intra-aortic balloon pump; ICU, intensive care unit; CCU, coronary care unit.