Abd El.Khalik, S., Atia, A., Abdelraouf, H., Sabry, A. (2021). Impact of PCI Timing on Short Term Outcome in Non ST Elevation Myocardial Infraction. Benha Medical Journal, 38(2), 455-464. doi: 10.21608/bmfj.2021.144730
Sayed Abd El.Khalik; Ali Atia; Hazem Abdelraouf; Al-Shimaa Sabry. "Impact of PCI Timing on Short Term Outcome in Non ST Elevation Myocardial Infraction". Benha Medical Journal, 38, 2, 2021, 455-464. doi: 10.21608/bmfj.2021.144730
Abd El.Khalik, S., Atia, A., Abdelraouf, H., Sabry, A. (2021). 'Impact of PCI Timing on Short Term Outcome in Non ST Elevation Myocardial Infraction', Benha Medical Journal, 38(2), pp. 455-464. doi: 10.21608/bmfj.2021.144730
Abd El.Khalik, S., Atia, A., Abdelraouf, H., Sabry, A. Impact of PCI Timing on Short Term Outcome in Non ST Elevation Myocardial Infraction. Benha Medical Journal, 2021; 38(2): 455-464. doi: 10.21608/bmfj.2021.144730
Impact of PCI Timing on Short Term Outcome in Non ST Elevation Myocardial Infraction
1Department of cardiology, faculty of medicine, Benha University, Egypt.
2Department of cardiology, faculty of medicine, Benha University, Egypt
Abstract
Background: Patients with non-ST-segment elevation myocardial infraction are at risk of adverse cardiac events like death, CHF, re-infarction, stroke, major bleeding, cardiogenic shock, acute pulmonary edema and arrythmias. We aimed to investigate the outcome of early vs. late intervention in patients with non-ST-elevation myocardial infraction. Aim: To investigate the outcome of early vs. late intervention in patients with non-ST-elevation myocardial infraction. Subjects and methods: 100 eligible NSTEMI patients were included in our study and were divided into 2 groups: Group I “Early Intervention” 50 patients with door-to-balloon time < 24 hours and Group II “Late Intervention” 50 patients with door-to-balloon time >24 hours. All patients were assessed for baseline characteristics, admission data, ECG, echocardiography, angiographic data in-hospital outcome & 3 months follow up outcome. Results: An early-intervention strategy did not differ from a delayed-intervention strategy in preventing a composite outcome of death, myocardial infarction, heart failure, cardiogenic shock, acute pulmonary edema, major bleeding stroke and arrythmias. Conclusion: Early invasive approach compared with a delayed invasive approach in patients with Non-STEMI does not improve survivalBackground: Patients with non-ST-segment elevation myocardial infraction are at risk of adverse cardiac events like death, CHF, re-infarction, stroke, major bleeding, cardiogenic shock, acute pulmonary edema and arrythmias. We aimed to investigate the outcome of early vs. late intervention in patients with non-ST-elevation myocardial infraction. Aim: To investigate the outcome of early vs. late intervention in patients with non-ST-elevation myocardial infraction. Subjects and methods: 100 eligible NSTEMI patients were included in our study and were divided into 2 groups: Group I “Early Intervention” 50 patients with door-to-balloon time < 24 hours and Group II “Late Intervention” 50 patients with door-to-balloon time >24 hours. All patients were assessed for baseline characteristics, admission data, ECG, echocardiography, angiographic data in-hospital outcome & 3 months follow up outcome. Results: An early-intervention strategy did not differ from a delayed-intervention strategy in preventing a composite outcome of death, myocardial infarction, heart failure, cardiogenic shock, acute pulmonary edema, major bleeding stroke and arrythmias. Conclusion: Early invasive approach compared with a delayed invasive approach in patients with Non-STEMI does not improve survival