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Review

Primary PCI: Outcomes and Quality Assessment

In: Primary Angioplasty: A Practical Guide [Internet]. Singapore: Springer; 2018. Chapter 23.
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Review

Primary PCI: Outcomes and Quality Assessment

John S. Douglas.
Free Books & Documents

Excerpt

Patients with ST-segment elevation myocardial infarction (STEMI) constitute a high-risk group who benefit significantly from established community and regional plans aimed at achieving coronary artery reperfusion at the earliest possible time. Public awareness of the symptoms of a heart attack, the presence of rapid response teams to transport and treat STEMI patients, and appropriate hospital facilities are essential components of this effort. Routine patient and health system data collection and analysis and comparison of risk-adjusted outcomes are required to ensure that physician and system performances are comparable to regional and national norms and to permit corrective action where needed. Enhanced regional efforts have been shown to improve treatment times and outcomes with a significant reduction in in-hospital mortality in STEMI patients treated with PCI.

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References

    1. Levine GN, O’Gara PT, Bates ER, Blankenship JC, Kushner FG, Ascheim DD, et al. 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction: an update of the 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST-elevation myocardial Infarction: a report of the American College of Cardiology/American Heart Association task force on clinical practice guideline and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol. 2016;67:1235–50. - PubMed
    1. Pera VK, Larson DM, Sharkey SW, Garberick RF, Solie CJ, et al. New or presumed new left bundle branch block in patients with suspected STEMI. Eur Heart J Acute Cardiovasc Care. 2017;1:1–10. - PubMed
    1. Jollis JG, Al-Khalidi HR, Roettig ML, Berger PB, Corbett CC, Doerfler S. Impact of regionalization of ST elevation myocardial infarction care on treatment time and outcomes for emergency medical services transported patients presenting to hospitals with percutaneous coronary intervention: Mission: Lifeline Accelerator-2. Circulation. 2018;137(4):376–87. - PubMed
    1. Jneid H, Addison D, Bhatt DL, Fonarow GC, Gokak S, Grady KL. 2017 AHA/ACC Clinical performance and quality measures for adults with ST-elevation and non-ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on performance measures. J Am Coll Cardiol. 2017;70:2048–90. - PubMed
    1. Patel MR, Calhoun JH, Dehmer GJ, Grantham JA, Maddox TM, Maron DJ, Smith PK. ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS 2017 appropriate use criteria for coronary revascularization in patients with acute coronary syndromes: a report of the American College of Cardiology appropriate use criteria task force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2017;69:570–91. - PubMed

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