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[The region of Karlovac in the urgent PCI network].
Acta Med Croatica. 2009 Feb; 63(1):99-101.AM

Abstract

AIM

The aim of the study was to determine circumstances of referring patients with ST-elevation myocardial infarction (STEMI) for urgent percutaneous coronary intervention (PCI).

PATIENTS AND METHODS

Different forms of acute coronary syndrome (ACS) and circumstances of referring STEMI patients to Karlovac PCI from October 2005 to February 2008 were analyzed.

RESULTS

During the period of observation, 366 ACS patients were hospitalized. There were 37% of patients with unstable angina pectoris, 15% with myocardial infarction without ST-elevation (NSTEMI) and 48% with STEMI. Out of 176 STEMI patients, 52% had subacute infarction, 22% were referred for urgent PCI, 17% received fibrinolytic treatment, whereas in 9% of patients PCI and fibrinolysis were contradictory. Out of 30 patients with fibrinolysis, PCI was not carried out in 14 patients that arrived in hospital within 2-3 hours, 2 patients arrived after 6 hours, 3 patients were older than 75 and 11 patients refused invasive approach to treatment or it was personal estimate of the physician.

CONCLUSION

Accordingly, too many patients with subacute STEMI arrived in hospital. The success of PCI project would be even better if it was used in patients with unstable angina pectoris and NSTEMI.

Authors+Show Affiliations

Department of Medicine, Karlovac General Hospital, Karlovac, Croatia. davor.horvat@ka.t-com.hrNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

hrv

PubMed ID

19681472

Citation

Horvat, Davor, and Janko Grman. "[The Region of Karlovac in the Urgent PCI Network]." Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti, vol. 63, no. 1, 2009, pp. 99-101.
Horvat D, Grman J. [The region of Karlovac in the urgent PCI network]. Acta Med Croatica. 2009;63(1):99-101.
Horvat, D., & Grman, J. (2009). [The region of Karlovac in the urgent PCI network]. Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti, 63(1), 99-101.
Horvat D, Grman J. [The Region of Karlovac in the Urgent PCI Network]. Acta Med Croatica. 2009;63(1):99-101. PubMed PMID: 19681472.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The region of Karlovac in the urgent PCI network]. AU - Horvat,Davor, AU - Grman,Janko, PY - 2009/8/18/entrez PY - 2009/8/18/pubmed PY - 2009/9/18/medline SP - 99 EP - 101 JF - Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti JO - Acta Med Croatica VL - 63 IS - 1 N2 - AIM: The aim of the study was to determine circumstances of referring patients with ST-elevation myocardial infarction (STEMI) for urgent percutaneous coronary intervention (PCI). PATIENTS AND METHODS: Different forms of acute coronary syndrome (ACS) and circumstances of referring STEMI patients to Karlovac PCI from October 2005 to February 2008 were analyzed. RESULTS: During the period of observation, 366 ACS patients were hospitalized. There were 37% of patients with unstable angina pectoris, 15% with myocardial infarction without ST-elevation (NSTEMI) and 48% with STEMI. Out of 176 STEMI patients, 52% had subacute infarction, 22% were referred for urgent PCI, 17% received fibrinolytic treatment, whereas in 9% of patients PCI and fibrinolysis were contradictory. Out of 30 patients with fibrinolysis, PCI was not carried out in 14 patients that arrived in hospital within 2-3 hours, 2 patients arrived after 6 hours, 3 patients were older than 75 and 11 patients refused invasive approach to treatment or it was personal estimate of the physician. CONCLUSION: Accordingly, too many patients with subacute STEMI arrived in hospital. The success of PCI project would be even better if it was used in patients with unstable angina pectoris and NSTEMI. SN - 1330-0164 UR - https://www.unboundmedicine.com/medline/citation/19681472/[The_region_of_Karlovac_in_the_urgent_PCI_network]_ L2 - https://medlineplus.gov/heartattack.html DB - PRIME DP - Unbound Medicine ER -