STEMI患者PCI术后早期出院

William W. Hung
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引用次数: 14

摘要

设置和参与者:EHD组由600名患者组成,他们在2018年10月至2021年6月的48小时内出院。根据欧洲心脏病学会的建议,根据以下标准将患者选入EHD组,所有患者都进行了密切随访,出院后48小时进行结构化电话随访,以及8周和3个月时:•左心室射血分数≥40%•成功的初次经皮冠状动脉介入治疗(在3级心肌梗死流量中实现溶栓)•没有需要进一步住院血运重建的严重非心脏病•经皮冠状静脉介入治疗后没有缺血性症状•没有心力衰竭或血液动力学不稳定•没有严重心律失常(需要长时间停留的心室颤动、室性心动过速或心房颤动或房扑)•在适当的社会环境下活动以出院
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Early Hospital Discharge Following PCI for Patients With STEMI
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
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