Association of pre-hospital time intervals and clinical outcomes in ST-elevation myocardial infarction patients.

ABSTRACT:

Study objectives

Timely coronary reperfusion is critical for favorable outcomes after ST-elevation myocardial infarction (STEMI). A substantial proportion of the total ischemic time is patient related, occurring before first medical contact (FMC). We aimed to expand the limited current understanding of the associations between prehospital intervals and clinical outcomes.

Methods

We conducted a retrospective analysis of consecutive STEMI patients who underwent primary percutaneous coronary intervention (pPCI) (January 2009-March 2016) and assessed the associations between prehospital intervals and the incidence of new heart failure, cardiogenic shock, and hospital length of stay (LOS), adjusting for important clinical variables.

Results

A total of 773 patients (77% men

SUBMITTER: Mackay MH 

PROVIDER: S-EPMC9174874 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature