Safi M, Hazifi A, Vakili H, Saadat H, Namazi M H, Faridnia H. Impact of normal-hours versus off-hours primary percutaneous coronary intervention on patient outcome in acute ST-elevation myocardial infarction . Research in Medicine 2012; 35 (4) :221-224
URL:
http://pejouhesh.sbmu.ac.ir/article-1-976-en.html
Department of Cardivascular Diseases, Cardivascular Research Center, Shahid Beheshti University of Medical sciences, Tehran, Iran , abdulkareem_alhuthaifi@yahoo.com
Abstract: (13111 Views)
Abstract
Background: Conflicting data exist regarding the outcome of primary percutaneous coronary intervention, (PPCI) performed during the night hours. We sought to investigate this issue in a tertiary care center dealing with a high load of STEMI patients.
Methods: Seventy three consecutive patients presenting with STEMI were divided in 2 groups with similar baseline characteristics. In-hospital mortality and morbidity during one month between March and April 2010 was analyzed between those treated with PPCI during normal-hours, (weekdays, 7AM to 7pm) vs. those in whom PPCI was done after normal working hours, (7pm to 7am).
Results: Mortality was 16.1% in normal-hours group and 4.8% in off-hours group (p<0.2) morbidity was 3.2% and 2.4% respectively (p<0.9) and angioplasty success was 100% in both groups.
Conclusion: PPCI can be performed safely during the night.
Keywords: STEMI, PPCI, Mortality, Morbidity, Angioplasty.
Type of Study:
Original |
Subject:
Cardiology Received: 2012/03/24 | Published: 2012/02/15
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