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Results of the Croatian Primary Percutaneous Coronary Intervention Network for patients with ST-segment elevation acute myocardial infarction (CROSBI ID 166198)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Nikolić Heitzler, Vjeran ; Babić, Zdravko ; Miličić, Davor ; Bergovec, Mijo ; Raguž, Miroslav ; Mirat, Jure ; Strozzi, Maja ; Plazonić, Željko ; Giunio, Lovel ; Steiner, Robert et al. Results of the Croatian Primary Percutaneous Coronary Intervention Network for patients with ST-segment elevation acute myocardial infarction // The American journal of cardiology, 105 (2010), 9; 1261-1267. doi: 10.1016/j.amjcard.2009.12.041

Podaci o odgovornosti

Nikolić Heitzler, Vjeran ; Babić, Zdravko ; Miličić, Davor ; Bergovec, Mijo ; Raguž, Miroslav ; Mirat, Jure ; Strozzi, Maja ; Plazonić, Željko ; Giunio, Lovel ; Steiner, Robert ; Starčević, Boris ; Vuković, Ivica

engleski

Results of the Croatian Primary Percutaneous Coronary Intervention Network for patients with ST-segment elevation acute myocardial infarction

The Republic of Croatia, with a gross domestic product per capita of US$11, 554 in 2008, is an economically less-developed Western country. The goal of the present investigation was to prove that a well-organized primary percutaneous coronary intervention network in an economically less-developed country equalizes the prospects of all patients with acute ST-segment elevation myocardial infarction at a level comparable to that of more economically developed countries. We prospectively investigated 1, 190 patients with acute ST-segment elevation myocardial infarction treated with primary PCI in 8 centers across Croatia (677 nontransferred and 513 transferred). The postprocedural Thrombolysis In Myocardial Infarction flow, in- hospital mortality, and incidence of major adverse cardiovascular events (ie, mortality, pectoral angina, restenosis, reinfarction, coronary artery bypass graft, and cerebrovascular accident rate) during 6 months of follow-up were compared between the nontransferred and transferred subgroups and in the subgroups of older patients, women, and those with cardiogenic shock. In all investigated patients, the average door-to- balloon time was 108 minutes, and the total ischemic time was 265 minutes. Postprocedural Thrombolysis In Myocardial Infarction 3 flow was established in 87.1% of the patients, and the in-hospital mortality rate was 4.4%. No statistically significant difference was found in the results of treatment between the transferred and nontransferred patients overall or in the subgroups of patients >75 years, women, and those with cardiogenic shock. In conclusion, the Croatian Primary Percutaneous Coronary Intervention Network has ensured treatment results of acute ST-segment elevation myocardial infarction comparable to those of randomized studies and registries of more economically developed countries

myocardial infarction ; primary PCI ; Croatian PCI network

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Podaci o izdanju

105 (9)

2010.

1261-1267

objavljeno

0002-9149

1879-1913

10.1016/j.amjcard.2009.12.041

Povezanost rada

Kliničke medicinske znanosti

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