Pretražite po imenu i prezimenu autora, mentora, urednika, prevoditelja

Napredna pretraga

Pregled bibliografske jedinice broj: 893026

Seven-year trends in the croatian primary percutaneous coronary intervention network


Babić, Zdravko; Pintarić, Hrvoje; Starcević, Boris; Bulum, Joško; Tomulić, Vjeko; Giunio, Lovel; Vuković, Ivica; Steiner, Robert; Stipić, Hrvoje; Šikić, Jozica et al.
Seven-year trends in the croatian primary percutaneous coronary intervention network // Acta clinica Croatica, 54 (2015), 3; 351-358 (podatak o recenziji nije dostupan, članak, ostalo)


CROSBI ID: 893026 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Seven-year trends in the croatian primary percutaneous coronary intervention network

Autori
Babić, Zdravko ; Pintarić, Hrvoje ; Starcević, Boris ; Bulum, Joško ; Tomulić, Vjeko ; Giunio, Lovel ; Vuković, Ivica ; Steiner, Robert ; Stipić, Hrvoje ; Šikić, Jozica ; Zekanović, Dražen ; Prvulović, Đeiti ; Kozmar, Damir ; Miličić, Davor

Izvornik
Acta clinica Croatica (0353-9466) 54 (2015), 3; 351-358

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
Coronary disease-therapy ; Croatia ; Myocardial infarction-therapy ; Percutaneous coronary intervention

Sažetak
The authors investigated trends in the Croatian primary Percutaneous Coronary Intervention (pPCI) Network results among three consecutive time intervals (2005-2007, first phase ; 2008-2009, second phase ; and 2010-2011, third phase). Data on 5650 patients with acute myocardial infarction with ST-elevation (STEMI ) transferred or directly admitted and treated with pPCI in 11 Croatian PCI centers during the study period were collected and analyzed. The number of patients with acute STEMI treated with pPCI per year rose continuously during the study period (581 vs.1272 vs. 1949 patients/year). The patient risk profile worsened during the study period: age (60 vs. 61 vs. 63 years ; p < 0.01), anterior myocardial wall involvement (43% vs. 44% vs. 51% ; p < 0.01), shock rate (7% vs. 9% vs. 11% ; p < 0.05), and percentage of transferred patients (42% vs. 36% vs. 46% ; p < 0.01). While the door-to-balloon time shortened (108 vs. 98 vs. 75 min ; p < 0.01), the symptom onset-to-door time increased (130 vs. 175 vs. 195 min ; p < 0.01), but without statistically significant influence on the total ischemic time. Multivariate log-linear analysis eliminated influence of a higher risk profile on the results of treatment and yielded no statistically significant changes in final TIMI 3 flow (Thrombolysis In Myocardial Infarction 3), in-hospital mortality, and six-month mortality rate, but revealed a significant increase in the rate of angina pectoris (12 vs. 22 vs. 36% ; p < 0.01) and other major adverse cardiovascular events (MACE ; 6 vs. 23 vs. 14% ; p < 0.01) during follow up. In conclusion, the Croatian pPCI Network continuously ensures very good results of STEMI treatment in this economically less developed European country despite worsening of the risk profile in treated patients and opening of new, less experienced PCI centers. The higher percentage of MACE over time could be explained by changes in the pPCI strategy introduced over time (the culprit lesion only) and higher availability of PCI centers for additional PCI after acute STEMI. However, there is room for improvement, especially in reducing prehospital delay.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Ustanove:
Medicinski fakultet, Zagreb


Citiraj ovu publikaciju

Babić, Zdravko; Pintarić, Hrvoje; Starcević, Boris; Bulum, Joško; Tomulić, Vjeko; Giunio, Lovel; Vuković, Ivica; Steiner, Robert; Stipić, Hrvoje; Šikić, Jozica et al.
Seven-year trends in the croatian primary percutaneous coronary intervention network // Acta clinica Croatica, 54 (2015), 3; 351-358 (podatak o recenziji nije dostupan, članak, ostalo)
Babić, Z., Pintarić, H., Starcević, B., Bulum, J., Tomulić, V., Giunio, L., Vuković, I., Steiner, R., Stipić, H. & Šikić, J. (2015) Seven-year trends in the croatian primary percutaneous coronary intervention network. Acta clinica Croatica, 54 (3), 351-358.
@article{article, year = {2015}, pages = {351-358}, keywords = {Coronary disease-therapy, Croatia, Myocardial infarction-therapy, Percutaneous coronary intervention}, journal = {Acta clinica Croatica}, volume = {54}, number = {3}, issn = {0353-9466}, title = {Seven-year trends in the croatian primary percutaneous coronary intervention network}, keyword = {Coronary disease-therapy, Croatia, Myocardial infarction-therapy, Percutaneous coronary intervention} }
@article{article, year = {2015}, pages = {351-358}, keywords = {Coronary disease-therapy, Croatia, Myocardial infarction-therapy, Percutaneous coronary intervention}, journal = {Acta clinica Croatica}, volume = {54}, number = {3}, issn = {0353-9466}, title = {Seven-year trends in the croatian primary percutaneous coronary intervention network}, keyword = {Coronary disease-therapy, Croatia, Myocardial infarction-therapy, Percutaneous coronary intervention} }

Časopis indeksira:


  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE





Contrast
Increase Font
Decrease Font
Dyslexic Font