Lithuania
Research Article
A Transfer for PCI versus Conservative Treatment at a Late Electrocardiographic Stage of Myocardial Infarction on Admission: Long-Term Outcomes
Author(s): Egle Kalinauskiene, Laura Urbonaite, Dalia Gerviene and Albinas NaudziunasEgle Kalinauskiene, Laura Urbonaite, Dalia Gerviene and Albinas Naudziunas
Background: Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy in acute STelevation myocardial infarction (MI), but is unclear what electrocardiographic (ECG) signs on admission show that it is too late to transfer the patients to a PCI-capable hospital. Therefore, we performed this exploratory study. Methods: A prospective cohort study enrolling 42 patients with the chosen signs of a late ECG stage of MI on admission was performed. Long-term outcomes were compared in 15 patients treated conservatively and 12 patients transferred to a PCI-capable hospital who underwent PCI. The new ischemic events, deaths, changes in the ECG QRS score, echocardiographic ejection fraction, and index of impaired myocardial contraction were assessed after 1.5 years. Results: No significant differences were found in the groups, except for impaired myocardial contraction.. Read More»
DOI:
10.4172/2329-9517.1000198
Cardiovascular Diseases & Diagnosis received 427 citations as per Google Scholar report