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Cited by 288

The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

Danish Multicenter Randomized Study of Invasive Versus Conservative Treatment in Patients With Inducible Ischemia After Thrombolysis in Acute Myocardial Infarction (DANAMI)

Madsen, Jan K., Grande, Peer, Saunamäki, Kari, Thayssen, Per, Kassis, Eli, Eriksen, Ulrik, Rasmussen, Klaus, Haunsø, Stig, Nielsen, Torsten T., Haghfelt, Torben, Fritz-Hansen, Per, Hjelms, Erik, Paulsen, Peter K., Alstrup, Poul, Arendrup, Henrik, Niebuhr-Jørgensen, Uffe, Andersen, Lars I.·1997·Circulation

Abstract

Background The aim of the DANish trial in Acute Myocardial Infarction (DANAMI) study was to compare an invasive strategy of percutaneous transluminal coronary angioplasty (PTCA) or coronary artery bypass grafting (CABG) with a conservative strategy in patients with inducible myocardial ischemia who received thrombolytic treatment for a first acute myocardial infarction (AMI). Methods and Results Of the 503 patients randomized to an invasive strategy, PTCA was performed in 266 (52.9%) and CABG in 147 (29.2%) from 2 to 10 weeks after the AMI. Of the 505 patients in the conservative treatment group, only 8 (1.6%) had been revascularized 2 months after the AMI. The patients were followed up from 1 to 4.5 years. The primary end points were mortality, reinfarction, and admission with unstable angina. At 2.4 years’ follow-up (median), mortality was 3.6% in the invasive treatment group and 4.4% in the conservative treatment group (not significant). Invasive treatment was associated with a lower incidence of AMI (5.6% versus 10.5%; P =.0038) and a lower incidence of admission for unstable angina (17.9% versus 29.5%; P <.00001). The percentages of patients with a primary end point were 15.4% and 29.5% at 1 year, 23.5% and 36.6% at 2 years, and 31.7% versus 44.0% at 4 years ( P =<.00001) in the invasive and conservative treatment groups, respectively. At 12 months, stable angina pectoris was present in 21% of patients in the invasive treatment group and 43% in the conservative treatment group. Conclusions Invasive treatment in post-AMI patients with inducible ischemia results in a reduction in the incidence of reinfarction, fewer admissions due to unstable angina, and lower prevalence of stable angina. We conclude that patients with inducible ischemia before discharge who have received treatment with thrombolytic drugs for their first AMI should be referred to coronary arteriography and revascularized accordingly.

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Metadata

Authors
Madsen, J. K., Grande, P., Saunamäki, K., Thayssen, P., Kassis, E., Eriksen, U., Rasmussen, K., Haunsø, S., Nielsen, T. T., Haghfelt, T., Fritz-Hansen, P., Hjelms, E., Paulsen, P. K., Alstrup, P., Arendrup, H., Niebuhr-Jørgensen, U., & Andersen, L. I.
Venue
Circulation
Published
1997-08-05
Volume
96
Issue
3
Pages
748-755
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2016493598
Cited by
288
References
14
FWCI
12.79
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Danish Multicenter Randomized Study of Invasive Versus Conservative Treatment in Patients With Inducible Ischemia After Thrombolysis in Acute Myocardial Infarction (DANAMI). https://app.cochat.ai/papers/10.1161/01.cir.96.3.748
The paper
Madsen, J. K., Grande, P., Saunamäki, K., Thayssen, P., Kassis, E., Eriksen, U., Rasmussen, K., Haunsø, S., Nielsen, T. T., Haghfelt, T., Fritz-Hansen, P., Hjelms, E., Paulsen, P. K., Alstrup, P., Arendrup, H., Niebuhr-Jørgensen, U., & Andersen, L. I. (1997). Danish Multicenter Randomized Study of Invasive Versus Conservative Treatment in Patients With Inducible Ischemia After Thrombolysis in Acute Myocardial Infarction (DANAMI). Circulation. https://doi.org/10.1161/01.cir.96.3.748

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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