Frequency and outcomes of STEMI patients presenting between 12 and 24 h after symptom onset: Late‐presenting STEMI

Objectives To assess the characteristics and prognosis of ST‐elevation myocardial infarction (STEMI) patients, presenting between 12 and 24 h after symptom onset, in contemporary regional STEMI systems of care in the United States. Background Previous observational studies have been inconsistent reg...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2023-01, Vol.101 (1), p.1-10
Main Authors: Griffin, Anna C. Gonzalez, Yildiz, Mehmet, Bradley, Steven, Smith, Jenna E., Garcia, Santiago, Schmidt, Christian W., Garberich, Ross, Walser‐Kuntz, Evan, Traverse, Jay, Jollis, James G., Sharkey, Scott W., Henry, Timothy D.
Format: Article
Language:English
Subjects:
COVID-19 - diagnosis
Female
Humans
late‐presenting
Pandemics
percutaneous coronary intervention
Percutaneous Coronary Intervention - adverse effects
ST Elevation Myocardial Infarction - diagnostic imaging
ST Elevation Myocardial Infarction - therapy
STEMI
Treatment Outcome
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Summary:Objectives To assess the characteristics and prognosis of ST‐elevation myocardial infarction (STEMI) patients, presenting between 12 and 24 h after symptom onset, in contemporary regional STEMI systems of care in the United States. Background Previous observational studies have been inconsistent regarding the benefit of primary percutaneous coronary intervention (PCI) compared with conservative management for late‐presenting STEMI patients and the majority of randomized trials are from the fibrinolytic era. Methods Using a two‐center registry‐based cohort from March 2003 to December 2020, we evaluated the frequency, clinical characteristics, and outcomes of STEMI patients, stratified by symptom onset to balloon time:
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.30495