In-hospital prognosis and long-term mortality of STEMI in a reperfusion network. "Head to head" analisys: invasive reperfusion vs optimal medical therapy.
Cosme García-GarcíaN RibasL L RecasensO MeroñoI SubiranaA FernándezA PérezF MirandaH Tizón-MarcosJ Martí-AlmorJ BrugueraR ElosuaPublished in: BMC cardiovascular disorders (2017)
A STEMI network with PPCI 24/7 improved reperfusion therapy, resulting in an increase on PPCI. Despite in-hospital mortality decreased with a STEMI network, 2-year mortality remained similar in both periods, pre- and post-Network. Optimal medical therapy could be as important as reperfusion therapy in a STEMI reperfusion network.
Keyphrases
- acute myocardial infarction
- cerebral ischemia
- percutaneous coronary intervention
- healthcare
- acute ischemic stroke
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- cardiovascular disease
- risk factors
- acute coronary syndrome
- emergency department
- heart failure
- type diabetes
- blood brain barrier
- bone marrow
- brain injury
- left ventricular
- optical coherence tomography
- network analysis
- electronic health record
- adverse drug