© 2004 by BMJ Publishing Group & British Cardiac Society
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ISCHAEMIC HEART DISEASE
Direct stent or plain old balloon for primary angioplasty?
Two independent reviewers selected and extracted data from identified randomised trials of direct stenting or balloon angioplasty for acute myocardial infarction (MI). The outcomes were mortality at 30 days, 6 months, and 12 months; recurrent events; and bleeding. Nine trials with a total of 4433 patients fulfilled the inclusion criteria. The odds ratios for mortality after stenting as compared with balloon angioplasty were 1.17 (95% confidence interval (CI) 0.78 to 1.74) at 30 days and 1.09 (95% CI 0.80 to 1.50) at 12 months (p value for heterogeneity > 0.1 for each comparison). The odds ratios for reinfarction after stenting as compared with balloon angioplasty were 0.52 (95% CI 0.31 to 0.87) at 30 days and 0.67 (95% CI 0.45 to 0.99) at 12 months; for target vessel revascularisation, they were 0.46 (95% CI 0.34 to 0.61) at 30 days, and
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