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The pathophysiology of acute myocardial infarction and strategies of protection beyond reperfusion: A logistic regression was performed to find the determinants favorable for early discharge. Feasibility and safety of an early discharge strategy after low-risk acute myocardial infarction treated with primary percutaneous coronary intervention: The determinants of early discharge were established using logistic regression.

A direct comparison of intravenous enoxaparin with unfractionated heparin in primary percutaneous coronary intervention from the ATOLL trial.

Moreover it would allow for a rapid cardiac rehabilitation associated with an educational program on cardiac follow-up. Comparison of mortality benefit of immediate thrombolytic therapy versus delayed primary angioplasty for acute myocardial infarction.

Randomized trial of intravenous streptokinase, oral aspirin, both, or neither among 17, cases of suspected acute myocardial infarction: Early discharge after primary percutaneous coronary intervention for ST-elevation myocardial infarction. Primary Angioplasty in Myocardial Infarction. Hence, the number of patients potentially concerned by a strategy of early discharge is very large and, in a similar manner, an increase in the economic savings in perspective could be envisioned since our study showed that there was no long-term mortality rise.

The variables that were found to be significant in the univariate analyses were candidates for the multivariate analyses. Prasugrel versus clopidogrel in patients with acute coronary syndromes. Je perfectionnerai mes connaissances pour assurer au mieux ma mission. In our study population, patients transferred after CICU to another unit instead of returning home were younger in age 59[] vs.


Timing, setting and incidence of cardiovascular complications in patients with acute myocardial infarction submitted to primary percutaneous coronary intervention. En effet, enMelberg et al. This allowed us to assess the safety and feasibility of early discharge as the primary goal.

This reperfusion strategy is recommended because it leads to better outcomes Heusch G, Gersh BJ. Ticagrelor versus clopidogrel in patients with acute coronary syndromes. Moreover, it would certainly have important costefficiency impacts.

All of the aforementioned parameters taken from “real-life” conditions corresponded to and validated the criteria described in the literature to aid in the numerically scoring of the post-STEMI risk All patients with missing data were not analyzed.

Sortie precoce post-infarctus du myocarde

One must take into bioststistique each patient’s history, post-interventional monitoring as well as the usual procedures as practiced in each service. What is the optimal length of stay in hospital for ST elevation myocardial infarction treated with primary percutaneous coronary intervention? An additional limitation to our study was the missing data of the presence or absence of multi-vessel coronary disease.

Safety and feasibility of hospital discharge 2 days following primary percutaneous intervention for ST-segment elevation myocardial infarction. J Comp Eff Res. According to new recommendations given in 9the European Society of Cardiology ESC estimates that after a STEMI it is reasonable to consider an pem1 hospital discharge after about 72 hours in selected patients at low risk and subject to a prior organization of a cardiac follow-up with rehabilitation.


European Graduates | Université Joseph Fourier (Grenoble I)

Next day discharge after successful primary angioplasty for acute ST elevation myocardial infarction. At one-year biostatistiqur, 27 patients 1. We focused on comparing group 1a vs.

Data regarding re-hospitalization after discharge were lacking. The availability of such data would have very likely been considered as a determinant of early discharge that our trial was unable to demonstrate. Also inAzzalini et al. La prise en charge de l’infarctus du myocarde est votre quotidien et votre expertise pour l’analyse de ce travail est remarquable. Nevertheless, this study was focused upon mortality rates as well as measuring the finite endpoint of mortality with a longterm follow-up of one year.

Their blood levels of creatinine and troponin were lower. This network is a regional emergency cardiovascular network Eastern region of France that links ten large PPCI centers together which provide hour service.

Catheterisme cardiaque – Cliniques universitaires Saint-Luc. These include the prevention of complications acquired at the hospital i.

We chose the limit value of 48 hours to conduct our study since, according to the literature, complications acute heart failure, arrhythmias and conduction disturbances, recurrent myocardial infarctions, renal failure, hemorrhagic complications and deathmost frequently occur within the first 48 hours 33 GOOD CC BY-NC-ND 2. The secondary objective was to assess the determinants leading to an early discharge. It is an honor to have you present for the day biostatiztique my thesis defense.

Categorical variables are presented as frequencies and percentages.