Are the Results of Primary Percutaneous Transluminal Coronary Angioplasty for Acute Myocardial Infarction Different During the “Off” Hours?

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Cited by (32)

  • Evaluation of gender differences in door-to-balloon time in st-elevation myocardial infarction

    2013, Heart Lung and Circulation
    Citation Excerpt :

    As described above, female gender is a recognised predictor of a delayed DTB time, which has been supported by previous study findings [26–32]. The observation of office hours as an independent predictor of DTB time has been previously described with multiple studies demonstrating that fewer patients presenting after hours achieve DTB time guideline recommendations [27,40–43]. Previous studies have also demonstrated that hypertension [29,30,44] and triage category [45] are important determinants of DTB time.

  • "Code STEMI" protocol helps in achieving reduced door-to-balloon times in patients presenting with acute ST-segment elevation myocardial infarction during off-hours

    2012, Journal of Emergency Medicine
    Citation Excerpt :

    Jneid et al. demonstrated significantly elevated D2B times in the AMI patients presenting during off-hours, but failed to establish any disparity in the in-hospital mortality among both the groups (14). Garot et al., in a single-center study on 288 patients, found no differences in the reperfusion times and the in-hospital outcomes in the AMI patients presenting during regular working hours and off-hours (19). The operational characteristics of the institutions that achieved improved D2B times were highlighted, and specific strategies to improve hospital performance and patient outcomes were proposed (20).

  • Primary angioplasty and day variations

    2009, Revista Espanola de Cardiologia
  • Factors Associated With Poorer Prognosis for Patients Undergoing Primary Percutaneous Coronary Intervention During Off-Hours. Biology or Systems Failure?

    2008, JACC: Cardiovascular Interventions
    Citation Excerpt :

    Procedural success was a significant factor in subsequent adverse outcomes, but even patients with successful procedures had a higher risk of adverse events during off-hours. Our findings are consistent with the prior observation that higher angioplasty failure rates occur at night, though hitherto there has not been sufficient angiographic or procedural information to understand potential causes (15,23,24). In this respect, those complications that may be related to operator performance, such as vessel dissection, were more frequent at night, whereas complications potentially related to lesion characteristics, such as distal embolization, were not.

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