Title: Analysis of hospital outcomes of early and delayed PCI in non-ST segment elevation ACS
Abstract: Objective To discuss the optimal time of “early PCI” by analyzing clinical short-term outcome of PCI in non ST-segment elevation acute coronary syndromes (ACS). Methods We selected 150 non-ST segment elevation ACS patients who had received PCI from 24 h to 4 weeks after the symptoms occurred. They were devided into 3 groups (24 h,24-72 h and h) according to the interval between outbreak and PCI therapy. The success rate of PCI, improved chest pain, alteration of TIMI flow grades, and the ratio of adverse cardiovascular events during and after the procedure were compared. Results No significant differences were found in the 3 groups of patients with respect to the success rate, improved chest pain, alteration of TIMI flow grade. But the ratio of adverse cardiovascular events during the procedure in the 24 h group was higher than those of the other groups and had difference in statistics (23.3% vs 8.3%, P0.05). Conclusion Hospital outcomes of early and delayed PCI in non ST-segment elevation ACS were similar. But the ratio of adverse cardiovascular events during the procedure in the 24 h group was higher and the duration in hospital was longer in the 72 h group. So the PCI during 24-72 h in non ST-segment elevation ACS is safe and economical.
Publication Year: 2004
Publication Date: 2004-01-01
Language: en
Type: article
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