Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction: Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials

Philip A. Tideman; Jackie K. Fabri; Philip E. Aylward; R. J. Simes

doi:10.1111/j.1445-5994.1998.tb02106.x

Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction: Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials

Philip A. Tideman, Jackie K. Fabri, Philip E. Aylward, R. J. Simes

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

The patterns of revascularisation with percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft (CABG) surgery in the GUSTO 1 trial patients in Australia are described. In comparison with rates documented in earlier trials of thrombolytic therapy in Australia, the rates of revascularisation post-thrombolysis increased by 50%, primarily due to a doubling in the rate of use of PTCA. However, the rates were low by international comparisons. There were marked variations in the rates of revascularisation between States, but no correlation with differences in mortality between States. The main predictors of post thrombolysis PTCA were prior angina, mild infarction and access to PTCA facilities.

Original language	English
Pages (from-to)	533-540
Number of pages	8
Journal	Australian and New Zealand Journal of Medicine
Volume	28
Issue number	4
DOIs	https://doi.org/10.1111/j.1445-5994.1998.tb02106.x
Publication status	Published - 1 Jan 1998
Externally published	Yes

Keywords

Acute myocardial infarction
Coronary artery bypass graft
Percutaneous transluminal coronary angioplasty
Regional variations
Thrombolysis

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10.1111/j.1445-5994.1998.tb02106.xLicence: In Copyright

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Tideman, P. A., Fabri, J. K., Aylward, P. E., & Simes, R. J. (1998). Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction: Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials. Australian and New Zealand Journal of Medicine, 28(4), 533-540. https://doi.org/10.1111/j.1445-5994.1998.tb02106.x

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title = "Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction: Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials",

abstract = "The patterns of revascularisation with percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft (CABG) surgery in the GUSTO 1 trial patients in Australia are described. In comparison with rates documented in earlier trials of thrombolytic therapy in Australia, the rates of revascularisation post-thrombolysis increased by 50%, primarily due to a doubling in the rate of use of PTCA. However, the rates were low by international comparisons. There were marked variations in the rates of revascularisation between States, but no correlation with differences in mortality between States. The main predictors of post thrombolysis PTCA were prior angina, mild infarction and access to PTCA facilities.",

keywords = "Acute myocardial infarction, Coronary artery bypass graft, Percutaneous transluminal coronary angioplasty, Regional variations, Thrombolysis",

author = "Tideman, {Philip A.} and Fabri, {Jackie K.} and Aylward, {Philip E.} and Simes, {R. J.}",

year = "1998",

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doi = "10.1111/j.1445-5994.1998.tb02106.x",

language = "English",

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Tideman, PA, Fabri, JK, Aylward, PE & Simes, RJ 1998, 'Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction: Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials', Australian and New Zealand Journal of Medicine, vol. 28, no. 4, pp. 533-540. https://doi.org/10.1111/j.1445-5994.1998.tb02106.x

Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction: Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials. / Tideman, Philip A.; Fabri, Jackie K.; Aylward, Philip E. et al.
In: Australian and New Zealand Journal of Medicine, Vol. 28, No. 4, 01.01.1998, p. 533-540.

Research output: Contribution to journal › Article › peer-review

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T1 - Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction

T2 - Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials

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AB - The patterns of revascularisation with percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft (CABG) surgery in the GUSTO 1 trial patients in Australia are described. In comparison with rates documented in earlier trials of thrombolytic therapy in Australia, the rates of revascularisation post-thrombolysis increased by 50%, primarily due to a doubling in the rate of use of PTCA. However, the rates were low by international comparisons. There were marked variations in the rates of revascularisation between States, but no correlation with differences in mortality between States. The main predictors of post thrombolysis PTCA were prior angina, mild infarction and access to PTCA facilities.

KW - Acute myocardial infarction

KW - Coronary artery bypass graft

KW - Percutaneous transluminal coronary angioplasty

KW - Regional variations

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Intervention with PTCA and CABG following thrombolysis for acute myocardial infarction: Australian data from GUSTO 1 (1991-3) and International Study Group r-TPA Streptokinase Mortality (1989) trials

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