The Impact of Hospitalization Time on Major Cardiovascular Event Frequency in Patients with ST-Elevation Myocardial Infarction Over a 6-Month Follow-up
Yükleniyor...
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Publishing House
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: The mortality rates related to acute myocardial infarction have significantly decreased recently due to early-period cardiovascular
interventions. Some studies have shown that there is no difference in cardiovascular outcomes between the early discharge and the
late one. In this study, we planned to investigate the effects of early and late discharge on the frequency of major events in patients
treated for acute ST-segment elevation myocardial infarction (STEMI) in our clinic.
Methods: Angiography records, demographic characteristics, and laboratory parameters of the patients who were diagnosed with
acute STEMI in our clinic between February 2020 and December 2021 were examined. Patients were classified as being in Group 1
(discharge within 48 h) or Group 2 (discharge after 48 h), and rates of recurrent hospitalization, heart failure attacks, cardiovascular
events, and death were compared between the two groups.
Results: A total of 321 patients were included in our study. There were 129 patients in Group 1 and 192 patients in Group 2. There
was no difference between the two Groups in terms of gender, age, or affected coronary vessels. The ejection fraction was lower in
the late discharge group (p=0.004). The postoperative ventricular arrhythmia rate was found to be statistically significantly higher in the
late discharge group (p=0.046). There was no difference in cardiovascular events between the first and sixth months in either group
(p-values of 0.096 and 0.649, respectively).
Conclusion: Considering the positive economic and psychosocial effects of early discharge for the patient and physician, when planning
the discharge of patients with STEMI, patients with low comorbidity, unaffected ejection fractions, no malignant arrhythmia in their
follow-up, and appropriate laboratory parameters can be evaluated for early discharge.
Açıklama
Makale
WOS:000964102000002
WOS:000964102000002
Anahtar Kelimeler
Angiography, Coronary Vessels, Heart Failure, Patient Discharge, ST-Segment Elevation Myocardial İnfarction
Kaynak
The Medical Bulletin of Haseki
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
61
Sayı
1
Künye
Şahin, A. T., Aydın, N., Alsancak, Y., Gürbüz, A. S. (2023). The impact of hospitalization time on major cardiovascular event frequency in patients with ST-elevation myocardial infarction over a 6-month follow-up. The Medical Bulletin of Haseki, 61, 1, 7-13.
