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Acute myocardial infarction and primary percutaneous coronary intervention at night time / Infarto agudo do miocárdio e intervenção coronariana percutânea primária no período noturno
Barbosa, Roberto Ramos; César, Felipe Bortot; Bayerl, Denis Moulin dos Reis; Serpa, Renato Giestas; Mauro, Vinícius Fraga; Veloso, Walkimar Ururay Glória; César, Roberto de Almeida; Reseck, Pedro Abílio Ribeiro.
  • Barbosa, Roberto Ramos; Instituto de Cardiologia do Espírito Santo. Espírito Santo - ES. BR
  • César, Felipe Bortot; Instituto de Cardiologia do Espírito Santo. Espírito Santo - ES. BR
  • Bayerl, Denis Moulin dos Reis; Instituto de Cardiologia do Espírito Santo. Espírito Santo - ES. BR
  • Serpa, Renato Giestas; Instituto de Cardiologia do Espírito Santo. Espírito Santo - ES. BR
  • Mauro, Vinícius Fraga; Instituto de Cardiologia do Espírito Santo. Espírito Santo - ES. BR
  • Veloso, Walkimar Ururay Glória; Instituto de Cardiologia do Espírito Santo. Espírito Santo - ES. BR
  • César, Roberto de Almeida; Instituto de Cardiologia do Espírito Santo. Espírito Santo - ES. BR
  • Reseck, Pedro Abílio Ribeiro; Instituto de Cardiologia do Espírito Santo. Espírito Santo - SP. BR
Int. j. cardiovasc. sci. (Impr.) ; 31(5)set.-out. 2018. tab
Article in English | LILACS | ID: biblio-914761
ABSTRACT

Background:

Primary percutaneous coronary intervention is the preferred treatment in ST-elevation myocardial infarction. At night period, the delay until performing primary percutaneous coronary intervention may be determinant to prognosis worsening.

Objective:

To analyze the results of primary percutaneous coronary intervention performed at day and night periods.

Methods:

Cohort study that included patients admitted with ST-elevation myocardial infarction who underwent primary percutaneous coronary intervention from December 2013 until December 2016 in a ST-elevation myocardial infarction reference hospital of a metropolitan region in Brazil, followed from admission to hospital discharge or death, compared according to time of primary percutaneous coronary intervention (night or day). Statistical analysis comprehended the Chi-square test, the Fisher test, the Student's t-test and the analysis of variance, with significance level of 5%.

Results:

446 patients were submitted to primary percutaneous coronary intervention, 159 (35.6%) at night time and 287 (64.4%) at day time. No differences were found between the two groups concerning clinical baseline characteristics. Door-to-balloon time (101 ± 81 minutes vs. 99 ± 78 minutes; p = 0,59) and onset-to-ballon time (294 ± 158 minutes vs. 278 ± 174 minutes; p = 0,32) did not differ between the groups. The incidence of combined major adverse cardiac events (15.1% vs. 14.3%; p = 0,58) and in-hospital mortality (9.4% vs. 8.0%; p = 0,61) were similar between the groups, as well as length of hospital stay (6.0 ± 4 days vs. 4.9 ± 4 days; p = 0,91).

Conclusion:

Primary percutaneous coronary intervention at night time showed similar results as the procedure performed at day time, without significant increase of in-hospital adverse events, length of stay or mortality
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Percutaneous Coronary Intervention / Myocardial Infarction / Night Care Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Female / Humans / Male Language: English Journal: Int. j. cardiovasc. sci. (Impr.) Journal subject: Cardiology Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Instituto de Cardiologia do Espírito Santo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Percutaneous Coronary Intervention / Myocardial Infarction / Night Care Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Female / Humans / Male Language: English Journal: Int. j. cardiovasc. sci. (Impr.) Journal subject: Cardiology Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Instituto de Cardiologia do Espírito Santo/BR