In patients s/p MI with totally occluded vessels, a previous study found no benefit to PCI performed within 3-28 days post MI (4 year death, MI, or class 4 CHF) (abstract). In this f/u study, researchers found the mean functional index was slightly higher in the PCI group at 4 months than in the medical therapy group, but there was no difference at 12-24 months. PCI also had slightly lower rates of angina at 4 and 24 months, but the PCI group did not have better 2 year quality adjusted survival. There still does not appear to be a significant advantage of late PCI over medical therapy in patients post MI with occluded vessels (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.