Same-day transfer of patients with unstable angina and non-ST segment elevation myocardial infarction back to their referring hospital after angioplasty.

The Canadian Journal of Cardiology
Doan Hoa DoMichel Nguyen

Abstract

Recent evidence has shown the advantages of an early invasive strategy for patients with high-risk unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI). However, the number of beds available for postangioplasty monitoring limits the use of this approach at the Centre hospitalier universitaire de Sherbrooke (Fleurimont, Quebec). To study the safety of a protocol allowing the same-day return of patients with UA or NSTEMI to their referring hospital after angioplasty at the Centre hospitalier universitaire de Sherbrooke. From June 2001 to June 2003, of the 532 patients with UA and NSTEMI who underwent percutaneous coronary intervention with planned same-day transfer back to their referring hospital, 419 consecutive patients who were eligible to return the same day were prospectively followed for 24 h. Stents were used in 94.7% of patients and platelet glycoprotein IIb/IIIa receptor antagonists were used in 34.8% of patients. For 85% of patients, the femoral artery was used as the access route for percutaneous coronary intervention. The mean time that patients stayed in the hospital after angioplasty before returning to their referring centres was 4.4 h. No deaths, life-threatening arrhythmias or urgent ...Continue Reading

References

Dec 1, 1989·The American Journal of Cardiology·D R CraggW W O'Neill
Jul 1, 1994·British Heart Journal·G J LaarmanT Slagboom
Feb 14, 1998·Journal of the American College of Cardiology·R M CaliffE M Ohman
Jun 23, 2001·The New England Journal of Medicine·C P CannonUNKNOWN TACTICS (Treat Angina with Aggrastat and Determine Cost of Therapy with an Invasive or Conservative Strategy)--Thrombolysis

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Citations

Sep 14, 2012·Behavioural and Cognitive Psychotherapy·Steffen MoritzCarsten Spitzer
Jun 20, 2015·The American Journal of Emergency Medicine·Leah FeazelNicholas M Mohr
Sep 19, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Leah F NelsonNicholas M Mohr

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