Acute ST-Elevation Myocardial Infarction in Patients Hospitalized for Noncardiac Conditions

Autor: Bumgarner, J., Spangler, A., Smith, S. C., Meredith, D., Dai, X., Stouffer, G. A.
Jazyk: angličtina
Rok vydání: 2013
Předmět:
DOI: 10.17615/t6tw-0409
Popis: BackgroundMajor advances have been made in the treatment of ST‐elevation myocardial infarction (STEMI) in outpatients. In contrast, little is known about outcomes in STEMI that occur in patients hospitalized for a noncardiac condition.Methods and ResultsThis was a retrospective, single‐center study of inpatient STEMIs from January 1, 2007, to July 31, 2011. Forty‐eight cases were confirmed to be inpatient STEMIs of a total of 139 410 adult discharges. These patients were older and more often female and had higher rates of chronic kidney disease and prior cerebrovascular events compared with 227 patients with outpatient STEMIs treated during the same period. Onset of inpatient STEMI was heralded most frequently by a change in clinical status (60%) and less commonly by patient complaints (33%) or changes on telemetry. Coronary angiography and percutaneous coronary intervention were performed in 71% and 56% of patients, respectively. The median time to obtain ECG (41 [10, 600] versus 5 [2, 10] minutes; P
Databáze: OpenAIRE