Adverse outcomes in hospitalized patients who develop ST-elevation myocardial infarction
| Autor: | Noa Holoshitz, Anand Haryani, Gaurav K. Sharma, Yanina A. Purim-Shem-Tov, Tyler Richmond, Gary L. Schaer |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Myocardial Infarction Electrocardiography Percutaneous Coronary Intervention medicine Humans cardiovascular diseases Myocardial infarction Intensive care medicine Cardiac catheterization Aged Retrospective Studies Inpatients medicine.diagnostic_test business.industry Percutaneous coronary intervention Retrospective cohort study Emergency department Length of Stay Middle Aged medicine.disease Triage surgical procedures operative Early Diagnosis Emergency medicine Female Myocardial infarction diagnosis Cardiology and Cardiovascular Medicine business Emergency Service Hospital Follow-Up Studies |
| Zdroj: | Critical pathways in cardiology. 13(2) |
| ISSN: | 1535-2811 |
| Popis: | Background There has been considerable emphasis on the care of patients with ST-elevation myocardial infarction (STEMI) with the wide implementation of protocols to quickly identify and triage them from the emergency department (ED) to a cardiac catheterization laboratory for percutaneous coronary intervention. However, a small but important number of patients with STEMI develop ST-elevation while hospitalized for another medical problem. Methods A single-center, retrospective chart review was performed on 172 consecutive patients with STEMI who underwent emergency percutaneous coronary intervention. One hundred thirty-seven patients presenting to the ED with STEMI and 35 patients who developed STEMI while hospitalized were compared. Results Hospitalized patients with STEMI had delayed reperfusion, longer hospitalization, greater rates of stent thrombosis, and greater 30-day and 1-year mortality compared with these in patients presenting with STEMI to the ED. Conclusions Optimized clinical pathways for prevention, early diagnosis, and expedited reperfusion of inpatients with STEMI are urgently needed. |
| Databáze: | OpenAIRE |
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