engleski

ANALYSIS OF PRIMARY PCI RESULTS DURING WORKING HOURS AND OFF-HOURS

There are different literature data about results of primary PCI in STEMI patients treated during nights or off-hours generally. Mostly, those results are worse or similar in comparision with results of primary PCI performed during working hours. Authors prospectively investigated 1161 patients with acute STEMI who were treated with primary PCI in eight Croatian high-volume PCI centers between Sep 1st 2005 and Aug 31st 2007 and compared those treated during working hours with those treated during off-hours, as well as those treated during day with those treated during night. Intrahospital mortality and incidence of MACE during 6-month follow up (angina pectoris, myocardial reinfarction, cerebrovascular insult, target lesion revascularization, late death) were compared. STEMI patients treated with primary PCI during working hours and during daily hours had worse prognosis, especially non-transported patients. One of the reasons for such results in this investigation could be higher proportion of hazardous patients (cardiogenic shock) in that part of day and this group of patients. Last disconcordance should be avoided in the future work.

STEMI ; PRIMARY PERCUTANEOUS CORONARY INTERVENTION ; NETWORK

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