An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/215389 |
Resumo: | Background: Although new studies and guidelines can be considered useful tools, it does not necessarily mean they are put into clinical practice. Objective: The aim of the current analysis was to assess the changes in primary percutaneous coronary intervention (PCI) and mortality in a tertiary university hospital in southern Brazil during a six-year period. Methods: We have included consecutive patients with ST-elevation myocardial infarction (STEMI) who underwent primary PCI between March 2011 and February 2017. Previous clinical history, characteristics of the procedure, and reperfusion strategies were collected. In-hospital, short and long-term mortalities were also evaluated. The significance level adopted for all tests was 5%. Results: There was an increase in the use of radial access in patients from 20.0% in 2011 to 62.7% in 2016 (ptrend < 0.0001). Moreover, thrombus aspiration decreased significantly from 66.7% in 2011 to less than 3.0% in 2016 (ptrend < 0.0001). In-hospital, short and long-term mortalities remained reasonably stable from 2011 to 2016 (ptrend > 0.05). However, a lower in-hospital mortality was observed in patients treated through radial access (p < 0.001). Cardiogenic shock occurred in 11.1%, without statistical differences in the period (ptrend = 0.39), while long-term mortality rate decreased from 80.0% in 2011 to 27.3% in 2016 in this patient group (ptrend = 0.29). Conclusions: During a 6-year follow-up period, primary PCI characteristics underwent important modifications. Radial access became widely used, with a decrease in mortality with the use of this route, while aspiration thrombectomy became a rare procedure. The incidence of cardiogenic shock remained stable, but has shown a reduction in its mortality. |
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Machado, Guilherme PinheiroPivatto Junior, FernandoWainstein, Rodrigo VugmanAraújo, Gustavo Neves deCarpes e Silva, Christian KundeLech, Mateus CorreaValle, Felipe HomemBergoli, Luiz Carlos CorsettiGonçalves, Sandro CadavalWainstein, Marco Vugman2020-11-24T04:10:13Z20192359-5647http://hdl.handle.net/10183/215389001118466Background: Although new studies and guidelines can be considered useful tools, it does not necessarily mean they are put into clinical practice. Objective: The aim of the current analysis was to assess the changes in primary percutaneous coronary intervention (PCI) and mortality in a tertiary university hospital in southern Brazil during a six-year period. Methods: We have included consecutive patients with ST-elevation myocardial infarction (STEMI) who underwent primary PCI between March 2011 and February 2017. Previous clinical history, characteristics of the procedure, and reperfusion strategies were collected. In-hospital, short and long-term mortalities were also evaluated. The significance level adopted for all tests was 5%. Results: There was an increase in the use of radial access in patients from 20.0% in 2011 to 62.7% in 2016 (ptrend < 0.0001). Moreover, thrombus aspiration decreased significantly from 66.7% in 2011 to less than 3.0% in 2016 (ptrend < 0.0001). In-hospital, short and long-term mortalities remained reasonably stable from 2011 to 2016 (ptrend > 0.05). However, a lower in-hospital mortality was observed in patients treated through radial access (p < 0.001). Cardiogenic shock occurred in 11.1%, without statistical differences in the period (ptrend = 0.39), while long-term mortality rate decreased from 80.0% in 2011 to 27.3% in 2016 in this patient group (ptrend = 0.29). Conclusions: During a 6-year follow-up period, primary PCI characteristics underwent important modifications. Radial access became widely used, with a decrease in mortality with the use of this route, while aspiration thrombectomy became a rare procedure. The incidence of cardiogenic shock remained stable, but has shown a reduction in its mortality.application/pdfengInternational journal of cardiovascular sciences. Rio de Janeiro. Vol. 32, no. 3 (2019), p. 125-133Infarto do miocárdioMortalidadeIntervenção coronária percutâneaChoque cardiogênicoMyocardial infarctionPercutaneous coronary interventionMortalityShockCardiogenicAn overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospitalinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001118466.pdf.txt001118466.pdf.txtExtracted Texttext/plain30282http://www.lume.ufrgs.br/bitstream/10183/215389/2/001118466.pdf.txtc6f095759be9a226ee650354cedd70caMD52ORIGINAL001118466.pdfTexto completo (inglês)application/pdf371108http://www.lume.ufrgs.br/bitstream/10183/215389/1/001118466.pdf2a67de3a479c5c310bf3e4d0564f97cdMD5110183/2153892020-11-25 05:06:23.035263oai:www.lume.ufrgs.br:10183/215389Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2020-11-25T07:06:23Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital |
title |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital |
spellingShingle |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital Machado, Guilherme Pinheiro Infarto do miocárdio Mortalidade Intervenção coronária percutânea Choque cardiogênico Myocardial infarction Percutaneous coronary intervention Mortality Shock Cardiogenic |
title_short |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital |
title_full |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital |
title_fullStr |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital |
title_full_unstemmed |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital |
title_sort |
An overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospital |
author |
Machado, Guilherme Pinheiro |
author_facet |
Machado, Guilherme Pinheiro Pivatto Junior, Fernando Wainstein, Rodrigo Vugman Araújo, Gustavo Neves de Carpes e Silva, Christian Kunde Lech, Mateus Correa Valle, Felipe Homem Bergoli, Luiz Carlos Corsetti Gonçalves, Sandro Cadaval Wainstein, Marco Vugman |
author_role |
author |
author2 |
Pivatto Junior, Fernando Wainstein, Rodrigo Vugman Araújo, Gustavo Neves de Carpes e Silva, Christian Kunde Lech, Mateus Correa Valle, Felipe Homem Bergoli, Luiz Carlos Corsetti Gonçalves, Sandro Cadaval Wainstein, Marco Vugman |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Machado, Guilherme Pinheiro Pivatto Junior, Fernando Wainstein, Rodrigo Vugman Araújo, Gustavo Neves de Carpes e Silva, Christian Kunde Lech, Mateus Correa Valle, Felipe Homem Bergoli, Luiz Carlos Corsetti Gonçalves, Sandro Cadaval Wainstein, Marco Vugman |
dc.subject.por.fl_str_mv |
Infarto do miocárdio Mortalidade Intervenção coronária percutânea Choque cardiogênico |
topic |
Infarto do miocárdio Mortalidade Intervenção coronária percutânea Choque cardiogênico Myocardial infarction Percutaneous coronary intervention Mortality Shock Cardiogenic |
dc.subject.eng.fl_str_mv |
Myocardial infarction Percutaneous coronary intervention Mortality Shock Cardiogenic |
description |
Background: Although new studies and guidelines can be considered useful tools, it does not necessarily mean they are put into clinical practice. Objective: The aim of the current analysis was to assess the changes in primary percutaneous coronary intervention (PCI) and mortality in a tertiary university hospital in southern Brazil during a six-year period. Methods: We have included consecutive patients with ST-elevation myocardial infarction (STEMI) who underwent primary PCI between March 2011 and February 2017. Previous clinical history, characteristics of the procedure, and reperfusion strategies were collected. In-hospital, short and long-term mortalities were also evaluated. The significance level adopted for all tests was 5%. Results: There was an increase in the use of radial access in patients from 20.0% in 2011 to 62.7% in 2016 (ptrend < 0.0001). Moreover, thrombus aspiration decreased significantly from 66.7% in 2011 to less than 3.0% in 2016 (ptrend < 0.0001). In-hospital, short and long-term mortalities remained reasonably stable from 2011 to 2016 (ptrend > 0.05). However, a lower in-hospital mortality was observed in patients treated through radial access (p < 0.001). Cardiogenic shock occurred in 11.1%, without statistical differences in the period (ptrend = 0.39), while long-term mortality rate decreased from 80.0% in 2011 to 27.3% in 2016 in this patient group (ptrend = 0.29). Conclusions: During a 6-year follow-up period, primary PCI characteristics underwent important modifications. Radial access became widely used, with a decrease in mortality with the use of this route, while aspiration thrombectomy became a rare procedure. The incidence of cardiogenic shock remained stable, but has shown a reduction in its mortality. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019 |
dc.date.accessioned.fl_str_mv |
2020-11-24T04:10:13Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/other |
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info:eu-repo/semantics/publishedVersion |
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publishedVersion |
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http://hdl.handle.net/10183/215389 |
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2359-5647 |
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001118466 |
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http://hdl.handle.net/10183/215389 |
dc.language.iso.fl_str_mv |
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dc.relation.ispartof.pt_BR.fl_str_mv |
International journal of cardiovascular sciences. Rio de Janeiro. Vol. 32, no. 3 (2019), p. 125-133 |
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