Three life years gained after reperfusion therapy in acute myocardial infarction: 25-30 years after a randomized controlled trial

Ron van Domburg, Joke Hendriks, O Kamp, P Smits, M (Marije) van Melle, Lisanne Schenkeveld, JJ Bax, Maarten Simoons

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Abstract

Aim: Reperfusion therapy in acute myocardial infarction reduces infarct size and increases hospital survival. We investigated whether the benefit of reperfusion therapy for myocardial infarction was sustained long-term and assessed the gain in life expectancy by reperfusion therapy. Methods and results: We analysed the outcome of 533 patients (mean age 56 years, 82% men), who were randomized to either reperfusion therapy or conventional therapy during 1980-1985. Median follow up was 27 years (25-30 years). At follow up, 59 patients (22%) of the 269 patients allocated to reperfusion treatment and only 39 patients (15%) of the 264 conventionally treated patients were still alive (p = 0.02). The cumulative 10-, 15-, 20-, and 25-year survival rates were 69, 48, 37, and 24% afte Conclusion: These data confirm that the benefits of early reperfusion therapy for acute myocardial infarction are sustained throughout the lifetime of the patients. More than 3 life years were gained by reperfusion therapy.
Original languageUndefined/Unknown
Pages (from-to)1316-1323
Number of pages8
JournalEuropean Journal of Preventive Cardiology
Volume19
Issue number6
DOIs
Publication statusPublished - 2012

Research programs

  • EMC COEUR-09

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