A teljes ischaemiás idő prognosztikus jelentősége az ST-elevációval járó szívinfarktus miatt kezelt betegekben
| Autor: | András Jánosi, Tamás Forster, Ferenc Péter Pach, Imre Ungi, Péter Ofner, Gergely Erdős, Péter Andréka |
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| Rok vydání: | 2018 |
| Předmět: |
Prognostic factor
medicine.medical_specialty business.industry medicine.medical_treatment Mortality rate Percutaneous coronary intervention General Medicine 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine St elevation myocardial infarction Diabetes mellitus Internal medicine Conventional PCI Cardiology Medicine In patient 030212 general & internal medicine Myocardial infarction business |
| Zdroj: | Orvosi Hetilap. 159:1113-1120 |
| ISSN: | 1788-6120 0030-6002 |
| Popis: | Abstract: Introduction: The significance of the total ischemic time (from the beginning of the complaint to the opening of the vessel) is an important factor for myocardial salvage. Aim: The aim of the study was to determine the prognostic significance of the TIT in patients with ST elevation myocardial infarction in Hungary. Method: From 1 January 2014 all patients with myocardial infarction were recorded by law in an on-line database of the Hungarian Myocardial Infarction Registry. Between 1 January 2014 and 31 March 2016, 27 157 patients with 28 408 myocardial infarction events were recorded. To investigate TIT, 7146 STEMI patients were selected who were treated with percutaneous coronary intervention (PCI) within 24 hours of the beginning of the complaint and all of its components were known. Results: Average follow-up was 740 ± 346 days. The median time of the TIT is 260 minutes, within which the earliest prehospital time was found (median 205 minutes). The TIT influenced survival: if this time was less than 400 minutes, the 30-day and the 1-year deaths were 7.5% and 12.2%, respectively. In longer TIT, higher mortality rate was found (9.2% versus 19.7%, respectively). Multivariate analysis was performed for short ( |
| Databáze: | OpenAIRE |
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