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https://www.readbyqxmd.com/read/29356080/striving-to-meet-targets-for-ideal-treatment-of-acute-myocardial-infarction-in-brazil-data-from-the-midwest-region
#1
Gustavo Carvalho, Salvador Rassi, Enio Guérios, Fernando A M Curado, Ana Tereza Bastos
OBJECTIVES: To evaluate the systematic chain of care for patients with acute ST-elevation myocardial infarction (STEMI) referred for primary angioplasty in a capital city in Midwestern Brazil. BACKGROUND: Acute myocardial infarction is recognized as an important cause of morbidity and mortality and as a public health problem worldwide. Early specialized care is crucial for a good prognosis. METHODS: All STEMI patients receiving care through the public health system at two tertiary care centers from March 2012 to June 2014 were retrospectively analyzed...
January 21, 2018: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/29344747/healthcare-based-on-cloud-electrocardiogram-system-a-medical-center-experience-in-middle-taiwan
#2
Xiu-Shu Zhang, Fang-Yie Leu, Ching-Wen Yang, Lai-Shiun Lai
Electrocardiogram (ECG) as one of the best methods to measure irregular heartbeats is a dispensable method for doctor to diagnose Acute Myocardial Infarction (AMI) patients. Most medical centers in Taiwan implement the reduction of Door to Balloon (D2B) time, which is defined as the time interval starting when an Acute-Myocardial-Infarction patient arrives at the Emergency Department, and ending when a catheter guide wire crosses the culprit lesion as the acute-myocardial-infarction treatment on the patient in the cardiac catheterization room...
January 17, 2018: Journal of Medical Systems
https://www.readbyqxmd.com/read/29319393/sex-based-differences-in-discharge-disposition-and-outcomes-for-st-segment-elevation-myocardial-infarction-patients-within-a-regional-network
#3
James R Langabeer, Timothy D Henry, Raymond Fowler, Tiffany Champagne-Langabeer, Junghyun Kim, Alice K Jacobs
BACKGROUND: It is known that women with ST-segment elevation myocardial infarction (STEMI) have higher mortality in comparison to men. While the reasons for this sex-based difference are not completely understood, biologic differences and disparities in care have been implicated. Whether these differences persist within an urban, regional STEMI system of care with defined protocols is unclear. Our objective was to explore sex-related effects in outcomes in a large regional system of care...
January 10, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29287703/smartphone-transmission-of-electrocardiography-images-to-reduce-time-of-cardiac-catheterization-laboratory-activation
#4
Chun-Chieh Chao, Yi-Chun Chen, Chun-Ming Shih, Sen-Kuang Hou, Raghu R Seethala, Imoigele P Aisiku, Chuan-Chin Huang, Peter C Hou, Wei-Fong Kao
BACKGROUND: This retrospective study evaluated the use of a smartphone application to facilitate communication between the emergency physician (EP) and the interventional cardiologist in order to minimize the time to cardiac catheterization laboratory (CCL) activation and time to percutaneous coronary intervention (PCI). METHODS: We retrospectively collected pertinent time-points in the management of patients diagnosed with STEMI in the emergency department and their outcome...
December 26, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/29275369/regional-call-911-emergency-department-protocol-to-reduce-interfacility-transfer-delay-for-patients-with-st-segment-elevation-myocardial-infarction
#5
Nichole Bosson, Terrence Baruch, William J French, Andrea Fang, Amy H Kaji, Marianne Gausche-Hill, Alisa Rock, David Shavelle, Joseph L Thomas, James T Niemann
BACKGROUND: We evaluated the first-medical-contact-to-balloon (FMC2B) time after implementation of a "Call 911" protocol for ST-segment-elevation myocardial infarction (STEMI) interfacility transfers in a regional system. METHODS AND RESULTS: This is a retrospective cohort study of consecutive patients with STEMI requiring interfacility transfer from a STEMI referring hospital, to one of 35 percutaneous coronary intervention-capable STEMI receiving centers (SRCs)...
December 23, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29238361/effect-of-chinese-national-holidays-and-weekends-versus-weekday-admission-on-clinical-outcomes-in-patients-with-stemi-undergoing-primary-pci
#6
Liang Tang, Peng-Fei Chen, Xin-Qun Hu, Xiang-Qian Shen, Yan-Shu Zhao, Zhen-Fei Fang, Sheng-Hua Zhou
Background: Data regarding the influence of weekends and Chinese national holiday's admission on the outcomes of patients with ST-elevated myocardial infarction (STEMI) is lacking. This study sought to investigate the effect of Chinese national holidays and weekend admission on outcomes in patients with STEMI undergoing primary percutaneous coronary intervention (PPCI). Methods: Patients presenting with STEMI within 12 h of symptom onset who underwent PPCI were retrospectively enrolled...
October 2017: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/29198986/australian-trends-in-procedural-characteristics-and-outcomes-in-patients-undergoing-percutaneous-coronary-intervention-for-st-elevation-myocardial-infarction
#7
Sinjini Biswas, Stephen J Duffy, Jeffrey Lefkovits, Nick Andrianopoulos, Angela Brennan, Antony Walton, William Chan, Samer Noaman, James A Shaw, Luke Dawson, Andrew Ajani, David J Clark, Melanie Freeman, Chin Hiew, Ernesto Oqueli, Christopher M Reid, Dion Stub
Over the last decade, systems of care for ST-elevation myocardial infarction (STEMI) have evolved to try to improve outcomes and timely access to percutaneous coronary intervention (PCI). There have also been advances in PCI techniques and adjunctive pharmacotherapies. In this study, we sought to determine temporal changes in practices and clinical outcomes of PCI in patients with STEMI. We prospectively collected data on 8,412 consecutive patients undergoing PCI for STEMI between 2005 and 2016 in the multicenter Melbourne Interventional Group registry...
October 31, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/29159569/determinants-of-short-and-long-door-to-balloon-time-in-current-primary-percutaneous-coronary-interventions
#8
Takunori Tsukui, Kenichi Sakakura, Yousuke Taniguchi, Kei Yamamoto, Hiroshi Wada, Shin-Ichi Momomura, Hideo Fujita
Primary percutaneous coronary interventions (PCI) have been developed to improve clinical outcomes in patients with ST-segment elevation myocardial infarction (STEMI). In primary PCI, the door-to-balloon time (DTBT) is closely associated with mortality and morbidity. The purpose of this study was to find determinants of short and long DTBT. From our hospital record, we included 214 STEMI patients, and divided into the short DTBT group (DTBT < 60 min, n = 60), the intermediate DTBT group (60 min ≤ DTBT ≤ 120 min, n = 121) and the long DTBT group (DTBT > 120 min, n = 33)...
November 20, 2017: Heart and Vessels
https://www.readbyqxmd.com/read/29126894/developments-in-pre-hospital-patient-transport-in-st-elevation-myocardial-infarction
#9
Maria Inês da Costa Silveira, Maria João Monteiro Sousa, Patrícia Fernandes Dias de Madureira Rodrigues, Bruno Miguel Fernandes Brochado, Raquel Bachen Guimarães Santos, Maria Ana Meixa Alves Burbach Trêpa, André Miguel Coimbra Luz, João Antonio Brum da Silveira, Aníbal António Braga de Albuquerque, Henrique José Cyrne de Castro Machado Carvalho, Severo Barreiro Torres
INTRODUCTION: ST-elevation myocardial infarction (STEMI) is a medical emergency that benefits from rapid access to specialized care. The objective of this study was to describe developments in patient transport via the pre-hospital emergency medical system (EMS) and its impact on clinical outcomes. METHODS: We retrospectively studied STEMI patients who underwent primary percutaneous coronary intervention between January 2008 and July 2015. Patients were divided according to type of admission...
November 7, 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/29118880/occurrence-and-impact-of-time-delay-to-primary-percutaneous-coronary-intervention-in-patients-with-st-segment-elevation-myocardial-infarction
#10
Mohammady Shahin, Slayman Obeid, Lotfy Hamed, Christian Templin, Oliver Gamperli, Fabian Nietlispach, Willbald Maier, Nooraldaem Yousif, Francois Mach, Marco Roffi, Stephan Windecker, Lorenz Raber, Christian M Matter, Thomas F Luscher
Background: The aim of the study was to evaluate the occurrence, duration and impact of time delays to primary percutaneous coronary intervention (pPCI) in ST-segment elevation myocardial infarction (STEMI). Methods: A total of 357 consecutive STEMI patients enrolled in the prospective Special Program University Medicine ACS (SPUM-ACS) cohort were included. In order to identify the causes behind a possible treatment delay, we constructed four different time points which included: 1) symptom onset to hospital arrival, 2) hospital arrival to arrival in the catheterization laboratory, 3) hospital arrival to first balloon inflation, and 4) time from arrival in the catheterization laboratory to first balloon inflation in addition to total ischemic time...
October 2017: Cardiology Research
https://www.readbyqxmd.com/read/29117666/prognostic-significance-of-non-chest-pain-symptoms-in-patients-with-non-st-segment-elevation-myocardial-infarction
#11
Inna Kim, Min Chul Kim, Keun Ho Park, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Myung Ho Jeong, Jeong Gwan Cho, Jong Chun Park, Myeong Chan Cho, Jong Jin Kim, Young Jo Kim, Youngkeun Ahn
Background/Aims: Chest pain is an essential symptom in the diagnosis of acute coronary syndrome (ACS). One-third of patients with ACS present atypically, which can influence their receiving timely lifesaving therapy. Methods: A total of 617 NSTEMI patients from the Korea Acute MI Registry (KAMIR) and the Korea Working Group on MI (KorMI) databases were analyzed. The study population was divided into two groups by symptoms at presentation (typical symptoms group, 128; atypical symptoms groups, 128)...
November 10, 2017: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/29099107/impacto-de-la-implementaci%C3%A3-n-de-c%C3%A3-digo-infarto-en-pacientes-con-infarto-agudo-de-miocardio-con-elevaci%C3%A3-n-del-segmento-st-en-el-hospital-de-cardiolog%C3%A3-a-del-centro-m%C3%A3-dico-nacional-siglo-xxi
#12
Gabriela Borrayo Sánchez, Héctor Álvarez Covarrubias, Gilberto Pérez Rodríguez, Efraín Arizmendi Uribe, Erick Ramírez-Arias, Martín Rosas Peralta, Jesús Arriaga Dávila
Objective: To evaluate the impact of the implementation of the Infarction Code strategy in patients with acute myocardial infarction diagnosis. Methods: Consecutive patients with ST-elevation acute myocardial infarction ≤12 hours of evolution, were included in the infarction code strategy, before (Group I) and after (Group II). Times of medical attention and major cardiovascular events during hospitalization were analyzed. Results: 1227 patients were included, 919 men (75%) and 308 women (25%) with an average age of 62 ± 11 years...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/29044463/prehospital-delay-in-older-adults-with-acute-myocardial-infarction-the-comprehensive-evaluation-of-risk-factors-in-older-patients-with-acute-myocardial-infarction-study
#13
Gregory M Ouellet, Mary Geda, Terrence E Murphy, Sui Tsang, Mary E Tinetti, Sarwat I Chaudhry
BACKGROUND/OBJECTIVES: Timely administration of antiischemic therapies improves outcomes in individuals with acute myocardial infarction (AMI). Prior literature on delays in AMI care has largely focused on in-hospital delay ("door to balloon" time). Our objective was to identify factors associated with prehospital delay in a contemporary national cohort of older adults with AMI. DESIGN: Cross-sectional analysis of data from the ComprehenSIVe Evaluation of Risk Factors in Older Patients with Acute Myocardial Infarction (SILVER-AMI) study, an observational study of older adults hospitalized for AMI...
November 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28974830/experience-and-outcomes-of-primary-percutaneous-coronary-intervention-for-patients-with-st-segment-elevation-myocardial-infarction-of-tertiary-care-center-in-bosnia-and-herzegovina
#14
Elmir Jahic
BACKGROUND: Primary percutaneous coronary intervention (PCI) is an emergent percutaneous catheter intervention in the setting of ST-segment elevations myocardial infarction (STEMI), without previous fibrinolytic treatment. AIM: To evaluate the feasibility and outcomes of primary percutaneous coronary interventions for STEMI in regional tertiary care cardiac centre in Bosnia and Herzegovina. METHODS: Between January 2014 and December 2016, consecutive 549 STEMI patients who underwent primary PCI were prospectively enrolled in a primary PCI registry...
June 2017: Medical Archives
https://www.readbyqxmd.com/read/28971637/an-intervention-to-reduce-the-time-interval-between-hospital-entry-and-emergency-coronary-angiography-in-patients-with-st-elevation-myocardial-infarction
#15
Basheer Karkabi, Ronen Jaffe, David A Halon, Amnon Merdler, Nader Khader, Ronen Rubinshtein, Jacob Goldstein, Barak Zafrir, Keren Zissman, Nissan Ben-Dov, Michael Gabrielly, Alex Fuks, Avinoam Shiran, Salim Adawi, Yaron Hellman, Johny Shahla, Salim Halabi, Moshe Y Flugelman, Shai Cohen, Irina Bergman, Sameer Kassem, Chen Shapira
BACKGROUND: Outcomes of patients with acute ST-elevation myocardial infarction (STEMI) are strongly correlated to the time interval from hospital entry to primary percutaneous coronary intervention (PPCI). Current guidelines recommend a door to balloon time of < 90 minutes. OBJECTIVES: To reduce the time from hospital admission to PPCI and to increase the proportion of patients treated within 90 minutes. METHODS: In March 2013 the authors launched a seven-component intervention program:  Direct patient evacuation by out-of-hospital emergency medical services to the coronary intensive care unit or catheterization laboratory Education program for the emergency department staff Dissemination of information regarding the urgency of the PPCI decision Activation of the catheterization team by a single phone call Reimbursement for transportation costs to on-call staff who use their own cars Improvement in the quality of medical records Investigation of failed cases and feedback...
September 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28939712/obesity-treatment-times-and-cardiovascular-outcomes-after-st-elevation-myocardial-infarction-findings-from-mission-lifeline-north-texas
#16
Tiffany Champagne-Langabeer, Junghyun Kim, Julie K Bower, Angela Gardner, Raymond Fowler, James R Langabeer
BACKGROUND: With increasing rates of obesity and its link with cardiovascular disease, there is a need for better understanding of the obesity-outcome relationship. This study explores the association between categories of obesity with treatment times and mortality for patients experiencing ST-segment elevation myocardial infarction. METHODS AND RESULTS: We examined 8725 patients with ST-segment elevation myocardial infarction who underwent primary percutaneous coronary intervention and used regression models to analyze the relationship between 6 categories of body mass index with key door-to-balloon time, total ischemic time, and in-hospital mortality...
September 22, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28934306/causes-of-delay-in-door-to-balloon-time-in-south-east-asian-patients-undergoing-primary-percutaneous-coronary-intervention
#17
Wen Jun Sim, An Shing Ang, Mae Chyi Tan, Wen Wei Xiang, David Foo, Kwok Kong Loh, Fahim Haider Jafary, Timothy James Watson, Paul Jau Lueng Ong, Hee Hwa Ho
OBJECTIVE: To evaluate causes and impact of delay in the door-to-balloon (D2B) time for patients undergoing primary percutaneous coronary intervention (PPCI). SUBJECTS AND METHODS: From January 2009 to December 2012, 1268 patients (86% male, mean age of 58 ± 12 years) presented to our hospital for ST-elevation myocardial infarction (STEMI) and underwent PPCI. They were divided into two groups: Non-delay defined as D2B time ≤ 90 mins and delay group defined as D2B time > 90 mins...
2017: PloS One
https://www.readbyqxmd.com/read/28900621/using-a-cloud-computing-system-to-reduce-door-to-balloon-time-in-acute-st-elevation-myocardial-infarction-patients-transferred-for-percutaneous-coronary-intervention
#18
Chi-Kung Ho, Fu-Cheng Chen, Yung-Lung Chen, Hui-Ting Wang, Chien-Ho Lee, Wen-Jung Chung, Cheng-Jui Lin, Shu-Kai Hsueh, Shin-Chiang Hung, Kuan-Han Wu, Chu-Feng Liu, Chia-Te Kung, Cheng-I Cheng
BACKGROUND: This study evaluated the impact on clinical outcomes using a cloud computing system to reduce percutaneous coronary intervention hospital door-to-balloon (DTB) time for ST segment elevation myocardial infarction (STEMI). METHODS: A total of 369 patients before and after implementation of the transfer protocol were enrolled. Of these patients, 262 were transferred through protocol while the other 107 patients were transferred through the traditional referral process...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28898927/in-hospital-code-stemi-improves-door-to-balloon-time-in-patients-undergoing-primary-percutaneous-coronary-intervention
#19
Ji Quan Koh, David C Tong, Rumes Sriamareswaran, Allysha Yeap, Bryan Yip, Sam Wu, Padeepa Perera, Shyaman Menon, Saad Al Noaman, Jamie Layland
OBJECTIVE: Reducing time to reperfusion for ST-segment elevation myocardial infarction (STEMI) is essential in improving outcomes. Consequently, numerous strategies have been employed to reduce median door-to-balloon time (DTBT). METHODS: CODE STEMI is an ED physician-activated STEMI notification system. On activation, an announcement is made over the hospital's public announcement (PA) system. We prospectively analysed all in-hours STEMI patients who had primary percutaneous coronary intervention (PPCI) Pre-CODE STEMI (2014) and after CODE STEMI was implemented (2015)...
September 12, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28893379/comparison-of-outcomes-of-st-elevation-myocardial-infarction-treated-by-percutaneous-coronary-intervention-during-off-hours-versus-on-hours
#20
REVIEW
Tariq H Enezate, Jad Omran, Ashraf S Al-Dadah, Martin Alpert, Ehtisham Mahmud, Mitul Patel, Herbert D Aronow, Deepak L Bhatt
Previous studies have reported worse outcomes and longer door-to-balloon times (DBTs) in patients presenting with ST-elevation myocardial infarction (STEMI) after normal working hours, during weekends, and on holidays (off-hours) compared with normal business hours (on-hours). Recent studies, however, have reported similar outcomes regardless of presentation time. MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were queried from January 1990 through December 2016. Only studies comparing STEMI outcomes during off-hours versus on-hours with percutaneous coronary intervention were included...
November 15, 2017: American Journal of Cardiology
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