PMID- 28400040
OWN - NLM
STAT- MEDLINE
DCOM- 20180129
LR  - 20181113
IS  - 2213-3763 (Electronic)
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 69 Suppl 1
IP  - Suppl 1
DP  - 2017 Apr
TI  - A comparison of rescue and primary percutaneous coronary interventions for acute 
      ST elevation myocardial infarction.
PG  - S57-S62
LID - S0019-4832(17)30137-2 [pii]
LID - 10.1016/j.ihj.2017.02.019 [doi]
AB  - OBJECTIVE: To perform a comparative analysis of in-hospital results obtained from 
      patients with acute ST elevation myocardial infarction (STEMI), who underwent 
      rescue or primary percutaneous coronary intervention (PCI). The aim is to 
      determine rescue PCI as a practical option for patients with no immediate access 
      to primary PCI. METHODS: From the Cardiology PCI Clinic of the National Hospital 
      of Sri Lanka (NHSL), we selected all consecutive patients presenting with acute 
      STEMI </=24h door-to-balloon delay for primary PCI and </=72h door-to-balloon 
      delay, (90min after failed thrombolysis) for rescue PCI, from March 2013 to April 
      2015 and their in-hospital results were analyzed, comparing rescue and primary 
      PCI patients. RESULTS: We evaluated 159 patients; 78 underwent rescue PCI and 81 
      underwent primary PCI. The culprit left anterior descending (LAD) vessel (76.9% 
      vs. 58.8%; P=0.015) was more prevalent in rescue than in primary patients. 
      Thrombus aspiration was less frequent in rescue group (19.2% vs. 40.7%; p=0.004). 
      The degree of moderate-to-severe left ventricular dysfunction reflected by the 
      ejection fraction <40% (24.3% vs. 23.7%; P=0.927) and prevalence of multivessel 
      disease (41.0% vs. 43.8%; P=0.729) revealed no significant difference. Coronary 
      stents were implanted at similar rates in both strategies (96.2% vs. 92.6%; 
      P=0.331). Procedural success (97.4% vs. 97.5%; P=0.980) and mortality rates (5.1% 
      vs. 3.8%; P=0.674), were similar in the rescue and primary groups. CONCLUSION: 
      In-hospital major adverse cardiac events (MACE) are similar in both rescue and 
      primary intervention groups, supporting the former as a practical option for 
      patients with no immediate access to PCI facilities.
CI  - Copyright (c) 2017. Published by Elsevier B.V.
FAU - Faslur Rahuman, M B
AU  - Faslur Rahuman MB
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka. 
      Electronic address: faslurcard@yahoo.com.
FAU - Jayawardena, Jayanthimala B
AU  - Jayawardena JB
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
FAU - Francis, George R
AU  - Francis GR
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
FAU - Mahboob, Niraj
AU  - Mahboob N
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
FAU - Kumara A H T, Wasantha
AU  - Kumara A H T W
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
FAU - Wijesinghe, Aruna
AU  - Wijesinghe A
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
FAU - Haniffa, Rashan
AU  - Haniffa R
AD  - National Intensive Care Surveillance, Colombo, Sri Lanka; Mahidol Oxford Tropical 
      Medicine Research Unit (MORU), Bangkok, Thailand; Faculty of Medicine, University 
      of Colombo, Sri Lanka.
FAU - Ariyapperuma, Ranithrie
AU  - Ariyapperuma R
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
FAU - Paramanayakam, Abbyramy
AU  - Paramanayakam A
AD  - Institute of Cardiology, National Hospital of Sri Lanka, Colombo, Sri Lanka.
FAU - De Silva, Pubudu A
AU  - De Silva PA
AD  - National Intensive Care Surveillance, Colombo, Sri Lanka; Intensive Care National 
      Audit and Research Center, Colombo, Sri Lanka.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20170306
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
SB  - IM
MH  - Coronary Angiography/methods
MH  - Cross-Sectional Studies
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention/*methods
MH  - Retrospective Studies
MH  - ST Elevation Myocardial Infarction/diagnosis/epidemiology/*surgery
MH  - Sri Lanka/epidemiology
MH  - *Stents
MH  - Survival Rate/trends
MH  - Time Factors
MH  - Treatment Outcome
PMC - PMC5388054
OTO - NOTNLM
OT  - Angioplasty
OT  - Infarction
OT  - Reperfusion
EDAT- 2017/04/13 06:00
MHDA- 2018/01/30 06:00
PMCR- 2018/04/01
CRDT- 2017/04/13 06:00
PHST- 2015/08/14 00:00 [received]
PHST- 2017/02/02 00:00 [revised]
PHST- 2017/02/28 00:00 [accepted]
PHST- 2017/04/13 06:00 [entrez]
PHST- 2017/04/13 06:00 [pubmed]
PHST- 2018/01/30 06:00 [medline]
PHST- 2018/04/01 00:00 [pmc-release]
AID - S0019-4832(17)30137-2 [pii]
AID - 10.1016/j.ihj.2017.02.019 [doi]
PST - ppublish
SO  - Indian Heart J. 2017 Apr;69 Suppl 1(Suppl 1):S57-S62. doi: 
      10.1016/j.ihj.2017.02.019. Epub 2017 Mar 6.