PMID- 36447602
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221202
IS  - 1016-7315 (Print)
IS  - 2212-5043 (Electronic)
IS  - 1016-7315 (Linking)
VI  - 34
IP  - 3
DP  - 2022
TI  - The Impact of a New STEMI Hotline on Cardiovascular Outcomes in STEMI Patients 
      Undergoing Primary Percutaneous Coronary Intervention: A National Cohort Study.
PG  - 212-221
LID - 10.37616/2212-5043.1319 [doi]
AB  - INTRODUCTION: ST-Elevation myocardial infarction (STEMI) remains a common and 
      challenging clinical condition with a high risk of mortality. STEMI complications 
      are related directly to prolonged ischemia time. Mohamad Bin Khalifa Cardiac 
      Centre (MKCC) established a national STEMI Hotline program on January 2022, to 
      facilitate early detection and transfer of STEMI cases in the country to a 
      dedicated tertiary cardiac center capable of performing primary PCI. METHODS: 
      This is an observational cohort study conducted on patients who presented to MKCC 
      for primary PCI between August 2021 to February 2022. Patients who underwent 
      primary PCI through referral from the newly developed STEMI hotline were compared 
      to patients who presented through the traditional referral pathway. The primary 
      outcome was the development of in-hospital cardiovascular 
      complications-requirement of inotropes, mechanical support, mechanical 
      ventilation, emergency surgery due to mechanical complications, cardiac arrest, 
      or death. Multivariate logistic regression models were used to compare the 
      outcomes and to estimate the effect of the hotline on patient outcomes. RESULTS: 
      A total of 197 patients were included, out of which 96 were referred through the 
      STEMI Hotline. The primary outcome occurred in 11.5% of patients in the hotline 
      group as compared to 22.8% of patients in the traditional pathway. Upon adjusting 
      for confounders in the multivariate regression model, the use of the hotline had 
      an odds ratio of 0.39 (95% CI: 0.17-0.9; p = 0.03) for the primary outcome. 
      CONCLUSION: Our results indicate that the use of the STEMI Hotline decreased risk 
      of in-hospital cardiovascular complication in patients with STEMI.
CI  - (c) 2022 Saudi Heart Association.
FAU - Bardooli, Fawaz
AU  - Bardooli F
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
FAU - Alhashli, Ali
AU  - Alhashli A
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
FAU - AlKhaja, Omar Y
AU  - AlKhaja OY
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
FAU - Faizal, Mohammed
AU  - Faizal M
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
FAU - Abdulmalek, Khaled
AU  - Abdulmalek K
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
FAU - Musameh, Shaikha
AU  - Musameh S
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
FAU - Mallah, Saad I
AU  - Mallah SI
AD  - Royal College of Surgeons in Ireland - Bahrain, Bahrain.
FAU - AlKhayat, Mohammed
AU  - AlKhayat M
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
FAU - Abdulrahman, Abdulkarim
AU  - Abdulrahman A
AD  - Mohammed Bin Khalifa Cardiac Centre, Bahrain.
LA  - eng
PT  - Journal Article
DEP - 20221103
PL  - Saudi Arabia
TA  - J Saudi Heart Assoc
JT  - Journal of the Saudi Heart Association
JID - 9887261
PMC - PMC9671146
OTO - NOTNLM
OT  - Bahrain
OT  - Cardiology
OT  - Coronary angiogram
OT  - Hotline
OT  - Invasive cardiology
OT  - Myocardial infarction
OT  - PCI
OT  - Percutaneous coronary intervention
OT  - STEMI
EDAT- 2022/12/01 06:00
MHDA- 2022/12/01 06:01
PMCR- 2022/11/03
CRDT- 2022/11/30 01:55
PHST- 2022/06/30 00:00 [received]
PHST- 2022/10/04 00:00 [revised]
PHST- 2022/10/10 00:00 [accepted]
PHST- 2022/11/30 01:55 [entrez]
PHST- 2022/12/01 06:00 [pubmed]
PHST- 2022/12/01 06:01 [medline]
PHST- 2022/11/03 00:00 [pmc-release]
AID - sha212-221 [pii]
AID - 10.37616/2212-5043.1319 [doi]
PST - epublish
SO  - J Saudi Heart Assoc. 2022 Nov 3;34(3):212-221. doi: 10.37616/2212-5043.1319. 
      eCollection 2022.