Early Hospital Discharge Following PCI for Patients With STEMI

Abstract

Setting and participants: An EHD group comprised of 600 patients who were discharged at <48 hours between April 2020 and June 2021 was compared to a control group of 700 patients who met EHD criteria but were discharged at >48 hour between October 2018 and June 2021. Patients were selected into the EHD group based on the following criteria, in accordance with recommendations from the European Society of Cardiology, and all patients had close follow-up with a combination of structured telephone follow-up at 48 hours post discharge and virtual visits at 2, 6, and 8 weeks and at 3 months: • Left ventricular ejection fraction ≥40% • Successful primary PCI (that achieved thrombolysis in myocardial infarction flow grade 3) • Absence of severe nonculprit disease requiring further inpatient revascularization • Absence of ischemic symptoms post PCI • Absence of heart failure or hemodynamic instability • Absence of significant arrhythmia (ventricular fibrillation, ventricular tachycardia, or atrial fibrillation or atrial flutter requiring prolonged stay) • Mobility with suitable social circumstances for discharge