24/7 Primary Percutaneous Coronary Intervention As a National Program

24/7 Primary Percutaneous Coronary Intervention As a National Program Publisher Pubmed

Abdi S¹ ; Haji Aghajani M² ; Janbabaei G³ ; Noohi F¹ ; Kermanchi J⁴ ; Salarifar M⁵ ; Geraiely B⁶ ; Sadeghipour P¹ ; Kazemisaleh D⁷ ; Firouzi A¹ ; Soleimani A⁸ ; Mortazavi SH⁵

Show Affiliations

1. Interventional Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
2. Department of Cardiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3. Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
4. Department of Disease Management, Curative Affairs Deputy, Ministry of Health and Medical Education, Tehran, Iran
5. Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
6. Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
7. Department of Cardiology, Bahman Hospital, Tehran, Iran
8. Sina General Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Critical Pathways in Cardiology Published:2021

Abstract

Due to the importance of early treatment in the final prognosis of ST-elevation myocardial infarction (STEMI) patients, full-time provision of revascularization services should be available 24 hours a day, 7 days a week (24/7) in conjunction with a fully-coordinated pre-hospital emergency system and equipped centers with experienced medical teams. We reviewed the 24/7 primary percutaneous coronary intervention (PCI) management registry and evaluated the quality of care and patient management as well as the temporal trend of provided health care services. In the present cross-sectional study, we retrieved the data on 11,563 STEMI patients having undergone primary PCI at the thirty-one 24/7 PCI-capable hospitals through the national 24/7 STEMI management program between September 2015 and August 2017 in Iran. The median (25th-75th) age of the patients was 59 (51-68) years. The median (25th-75th) time of door-to-device was 64 (41-100) min and 68% of patients achieved door to device time of ≤90 min. There was no significant difference in the median door-to-device time between the general and heart hospitals. This is the first Iranian National attempt to provide a uniform guideline-driven standard management in patients with STEMI undergoing primary PCI in a 24/7 program. We demonstrated an acceptable door-to-device time consistent with the recommendations of the current guidelines. We observed higher door-to-device time in older patients, female patients, and those where the culprit lesion was other than the left anterior descending coronary artery. Efforts should be made to improve door-to-device time in all patients or groups. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Style	Citing Format
MLA	Abdi S, et al.. "24/7 Primary Percutaneous Coronary Intervention As a National Program." Critical Pathways in Cardiology, vol. 20, no. 2, 2021, pp. 81-87.
APA	Abdi S, Haji Aghajani M, Janbabaei G, Noohi F, Kermanchi J, Salarifar M, Geraiely B, Sadeghipour P, Kazemisaleh D, Firouzi A, Soleimani A, Mortazavi SH (2021). 24/7 Primary Percutaneous Coronary Intervention As a National Program. Critical Pathways in Cardiology, 20(2), 81-87.
Chicago	Abdi S, Haji Aghajani M, Janbabaei G, Noohi F, Kermanchi J, Salarifar M, Geraiely B, et al.. "24/7 Primary Percutaneous Coronary Intervention As a National Program." Critical Pathways in Cardiology 20, no. 2 (2021): 81-87.
Harvard	Abdi S et al. (2021) '24/7 Primary Percutaneous Coronary Intervention As a National Program', Critical Pathways in Cardiology, 20(2), pp. 81-87.
Vancouver	Abdi S, Haji Aghajani M, Janbabaei G, Noohi F, Kermanchi J, Salarifar M, et al.. 24/7 Primary Percutaneous Coronary Intervention As a National Program. Critical Pathways in Cardiology. 2021;20(2):81-87.
BibTex	@article{ author = {Abdi S and Haji Aghajani M and Janbabaei G and Noohi F and Kermanchi J and Salarifar M and Geraiely B and Sadeghipour P and Kazemisaleh D and Firouzi A and Soleimani A and Mortazavi SH}, title = {24/7 Primary Percutaneous Coronary Intervention As a National Program}, journal = {Critical Pathways in Cardiology}, volume = {20}, number = {2}, pages = {81-87}, year = {2021} }
RIS	TY - JOUR AU - Abdi S AU - Haji Aghajani M AU - Janbabaei G AU - Noohi F AU - Kermanchi J AU - Salarifar M AU - Geraiely B AU - Sadeghipour P AU - Kazemisaleh D AU - Firouzi A AU - Soleimani A AU - Mortazavi SH TI - 24/7 Primary Percutaneous Coronary Intervention As a National Program JO - Critical Pathways in Cardiology VL - 20 IS - 2 SP - 81 EP - 87 PY - 2021 ER -

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Abstract