3layout original Article dr Anita suryo
Variable Shock Cardiac arrest VT/VF Cost Group 1
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Shock Cardiac arrest VT/VF Cost Group 1 Early PPCI Late PPCI Optimal Medical Therapy Early PPCI Late PPCI Optimal Medical Therapy Early PPCI Late PPCI Optimal Medical Therapy Early PPCI Late PPCI Optimal Medical Therapy GRUP 2 Late PPCI Optimal Medical Therapy Early PPCI Optimal Medical Therapy Early PPCI Late PPCI Late PPCI Optimal Medical Therapy Early PPCI Optimal Medical Therapy Early PPCI Late PPCI Late PPCI Optimal Medical Therapy Early PPCI Optimal Medical Therapy Early PPCI Late PPCI Late PPCI Optimal Medical Therapy Early PPCI Optimal Medical Therapy Early PPCI Late PPCI Note. PPCI = primary percutaneous coronary intervention; VT = ventricular tachycardia; VF = ventricular P Value 0.000* 0.001* 0.000* 0.608 0.001* 0.608 0.000* 0.000* 0.000* 0.003* 0.000* 0.003* 0.000* 0.000* 0.000* 0.003* 0.000* 0.003* 0.709 0.002* 0.709 0.041* 0.002* 0.041 Table 4.1 Mortality rate in each category from 2018-2021. PPCI = primary percutaneous coronary intervention. A. S. Santoso, et al. Heart Sci J 2022; 3(2): 10-17 A. S. Santoso, et al. Heart Sci J 2022; 3(2): 10-17 15 Chinese STEMI patient guideline in 2016 recommended PCI in patients with clinical or proven ischemia presenting within 12-48 hours (recommendation class IIa, level of evidence B). 25 Similarly Bouisset al. analyzed data from 3 observational national studies, as a part of FAST-MI (French Registry of Acute ST-elevation and non ST-ele- vation Myocardial Infarction) program over the period of 1 month in 2005, 2010, and 2015. Researchers evaluated 1169 STEMI patients with late presentation (12 – 48 hours after onset). 26 Compared with 5104 early presenting STEMI patients, late presenters tend to show less beneficial profile risks. Late presenting STEMI patients were more likely to be older, female, diabetic, and have a history of long standing hypertension. History of stroke, heart failure, and cancer were also more prevalent in this subset of patients. Late presenting STEMI patients were less likely to come with chief complaint of typical chest pain, however they were most likely present with cardiogenic shock compared to early presenters. Several characteristics found in the literature were also likely contributed to the adverse outcome of these patients. Late presenting STEMI patients were less likely to receive thrombolysis therapy compared to early presenters. However, patients receiving delayed PCI were still demonstrate lower mortality rate compared with non revascularized patients. 27,28 Table 3.2 Baseline characteristics of subjects in each category Table 3.2 Baseline characteristics of subjects in each category Variables CULPRIT LAD LCx RCA LESION LM LAD LCx RCA Non complete revascularization TIMI Flow 0 1 2 3 tải về 251.28 Kb. Chia sẻ với bạn bè của bạn:
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