Clinical Outcomes in Patients With Delayed Hospitalization for Non-ST-Segment Elevation Myocardial Infarction

Recently, the number of patients presenting with non-ST-segment elevation myocardial infarction (NSTEMI) has reduced, whereas increased mortality was reported. A plausible explanation for increased mortality was prehospital delay because of patients' reticence of their symptoms. The purpose of...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2022-02, Vol.79 (4), p.311-323
Main Authors: Cha, Jung-Joon, Bae, SungA, Park, Duk-Woo, Park, Jae Hyoung, Hong, Soon Jun, Park, Seong-Mi, Yu, Cheol Woong, Rha, Seung-Woon, Lim, Do-Sun, Suh, Soon Yong, Han, Seung Hwan, Woo, Seong-Ill, Lee, Nae-Hee, Choi, Donghoon, Chae, In-Ho, Kim, Hyo-Soo, Hong, Young Joon, Ahn, Youngkeun, Jeong, Myung Ho, Ahn, Tae Hoon
Format: Article
Language:English
Subjects:
Aged
Emergency Medical Services
Female
Hospitalization
Humans
Male
Middle Aged
Myocardial Revascularization
Non-ST Elevated Myocardial Infarction - complications
Non-ST Elevated Myocardial Infarction - mortality
Non-ST Elevated Myocardial Infarction - therapy
Registries
Republic of Korea
Risk Factors
Survival Rate
Symptom Assessment
Time-to-Treatment
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Summary:Recently, the number of patients presenting with non-ST-segment elevation myocardial infarction (NSTEMI) has reduced, whereas increased mortality was reported. A plausible explanation for increased mortality was prehospital delay because of patients' reticence of their symptoms. The purpose of this study was to investigate the association between prehospital delay and clinical outcomes in patients with NSTEMI METHODS: Among 13,104 patients from the Korea-Acute-Myocardial-Infarction-Registry-National Institutes of Health, the authors evaluated 6,544 patients with NSTEMI. Study patients were categorized into 2 groups according to symptom-to-door (StD) time (
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2021.11.019