Emergency percutaneous coronary interventions for acute myocardial infarction with ST-segment elevation in a regional hospital: a quality control study.

Details

Serval ID
serval:BIB_A53B7882F687
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Emergency percutaneous coronary interventions for acute myocardial infarction with ST-segment elevation in a regional hospital: a quality control study.
Journal
International Journal of Cardiology
Author(s)
Sierro C., Berger A., Eeckhout E., Vogt P.
ISSN
1874-1754 (Electronic)
ISSN-L
0167-5273
Publication state
Published
Issued date
07/2008
Peer-reviewed
Oui
Volume
129
Number
1
Pages
100-104
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Multicenter Study
Abstract
BACKGROUND: An invasive approach of acute myocardial infarction with ST-segment elevation (STEMI) with primary percutaneous coronary intervention (PCI) is currently considered as the most efficient revascularisation strategy and is performed around-the-clock in tertiary hospitals. The present study is aimed at investigating the short term outcome of primary PCI eligible patients after STEMI in a regional institution (CHCV, Sion) in comparison to a University Hospital (CHUV, Lausanne).
METHODS: From January the 1st to December the 31st 2002, all consecutive STEMI patients of both centres who had an emergency coronary arteriography were included in the analysis. Clinical and angiographic data were retrospectively collected. The primary end point was the combined incidence of in-hospital death, reinfarction, and target vessel revascularisation (TVR) at 7 days.
RESULTS: The analysis included 58 patients in the CHVC (60+/-13 years, 16% of whom were female) and 160 patients in the CHUV (63+/-12 years, 25% were female). Both populations were identical according to the severity of coronary artery disease and distribution of risk factors, except for smokers (55% in CHCV, 39% CHUV, p=0.04). Most of the patients were treated by PCI in both centres (80% CHCV versus 86% CHUV, p=NS). A low proportion in both groups underwent urgent surgical treatment (3.5% CHCV versus 5.5% CHUV, p=NS). At 7 days, adverse events free survival was not statistically different.
CONCLUSION: These results were expected because the CHCV fulfils the international guidelines criteria for performance of emergency angioplasty. Our study demonstrates that around-the-clock primary PCI for acute STEMI can safely be done in a regional hospital (CHCV Sion) providing there is strict adherence to all aspects of international guidelines.
Keywords
Aged, Angioplasty, Balloon, Coronary/methods, Angioplasty, Balloon, Coronary/mortality, Emergency Medical Services/methods, Emergency Medical Services/standards, Female, Follow-Up Studies, Hospitals, Community/methods, Hospitals, Community/standards, Hospitals, University/standards, Humans, Male, Middle Aged, Myocardial Infarction/mortality, Myocardial Infarction/physiopathology, Quality Control, Retrospective Studies
Pubmed
Web of science
Create date
28/01/2008 9:51
Last modification date
20/08/2019 15:10
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