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).
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