Transferring patients for primary angioplasty

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Transferring patients for primary infarct angioplasty.

Although primary angioplasty (PTCA) achieves reper-fusion in acute myocardial infarction (AMI) more readily than thrombolysis without the risk of intracranial haemorrhage , economic and logistic issues limit its applicability. 1 Most patients with AMI present to hospitals without cardiac catheterisation facilities, let alone PTCA expertise. The safety and feasibility of the emergency transfer o...

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Transferring patients for primary angioplasty in eastern Melbourne (the SHIPEM registry): are we meeting the guidelines?

OBJECTIVES To compare clinical outcomes between patients with ST-elevation myocardial infarction (STEMI) presenting to a hospital with facilities for primary percutaneous coronary intervention (PCI) and patients transferred from a non-PCI-capable unit, and to determine the success rate of meeting clinical guidelines for management of STEMI. DESIGN, SETTING AND PARTICIPANTS Prospective study o...

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The Effect of Primary Angioplasty and Drug Therapy in Elderly Patients with Acute Coronary Syndrome

Background & Aims: The aging of the population has caused an increase in the number of elderly people who receive treatment for cardiovascular disease. The prevalence of coronary artery disease is higher in the elderly, and on the other hand, complications after cardiac events are worse in the elderly. The most common cause of death in the elderly is cardiovascular disease. Rapid restoration of...

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Relation between hospital primary angioplasty volume and mortality for patients with acute MI treated with primary angioplasty vs thrombolytic therapy.

CONTEXT Institutional experience with primary angioplasty has been suggested as a factor in selecting a reperfusion strategy for patients with acute myocardial infarction (AMI). However, no large studies have directly compared outcomes of primary angioplasty vs thrombolytic therapy as a function of institutional experience. OBJECTIVE To compare outcomes among patients with AMI who were treate...

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ژورنال

عنوان ژورنال: Heart

سال: 1997

ISSN: 1355-6037

DOI: 10.1136/hrt.78.4.323