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Background::It remains unclear whether the outcomes of ST-elevation myocardial infarction (STEMI) patients treated with primary percutaneous coronary intervention (PPCI) during off-hours are as favorable as those treated during on-hours, especially those with a first medical contact-to-device (FMC-to-device) time within 90 min. We aimed to determine whether off-hours admission impacted late outcomes in patients undergoing PPCI and with an FMC-to-device time ≤90 min.Methods::This multicenter retrospective study included 670 STEMI patients who underwent successful PPCI and had an FMC-to-device time ≤90 min from 19 chest pain centers in Beijing from January 2018 to December 2018. Patients were divided into on-hours group and off-hours group based on their arrival time. Baseline characteristics, clinical data, and key time intervals during treatment were collected from the Quality Control & Improvement Center of Cardiovascular Intervention of Beijing by the "Heart and Brain Green Channel" app.Results::Overall,

作者:Ma Wen-Jian;Gao Si-De;Huang Si-Zhuang;Lin Xu-Ze;Yang Yue-Jin;Yu Meng-Yue;the Quality Control

来源:中华医学杂志英文版 2021 年 134卷 15期

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作者:
Ma Wen-Jian;Gao Si-De;Huang Si-Zhuang;Lin Xu-Ze;Yang Yue-Jin;Yu Meng-Yue;the Quality Control
来源:
中华医学杂志英文版 2021 年 134卷 15期
标签:
First medical contact-to-device time ST-segment elevation myocardial infarction Primary percutaneous coronary intervention Major adverse cardiovascular events Off-hours First medical contact-to-device time ST-segment elevation myocardial infarction Primary percutaneous coronary intervention Major adverse cardiovascula
Background::It remains unclear whether the outcomes of ST-elevation myocardial infarction (STEMI) patients treated with primary percutaneous coronary intervention (PPCI) during off-hours are as favorable as those treated during on-hours, especially those with a first medical contact-to-device (FMC-to-device) time within 90 min. We aimed to determine whether off-hours admission impacted late outcomes in patients undergoing PPCI and with an FMC-to-device time ≤90 min.Methods::This multicenter retrospective study included 670 STEMI patients who underwent successful PPCI and had an FMC-to-device time ≤90 min from 19 chest pain centers in Beijing from January 2018 to December 2018. Patients were divided into on-hours group and off-hours group based on their arrival time. Baseline characteristics, clinical data, and key time intervals during treatment were collected from the Quality Control & Improvement Center of Cardiovascular Intervention of Beijing by the "Heart and Brain Green Channel" app.Results::Overall,