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dc.contributor.authorMachado, Guilherme Pinheiropt_BR
dc.contributor.authorPivatto Junior, Fernandopt_BR
dc.contributor.authorWainstein, Rodrigo Vugmanpt_BR
dc.contributor.authorAraújo, Gustavo Neves dept_BR
dc.contributor.authorCarpes e Silva, Christian Kundept_BR
dc.contributor.authorLech, Mateus Correapt_BR
dc.contributor.authorValle, Felipe Homempt_BR
dc.contributor.authorBergoli, Luiz Carlos Corsettipt_BR
dc.contributor.authorGonçalves, Sandro Cadavalpt_BR
dc.contributor.authorWainstein, Marco Vugmanpt_BR
dc.date.accessioned2020-11-24T04:10:13Zpt_BR
dc.date.issued2019pt_BR
dc.identifier.issn2359-5647pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/215389pt_BR
dc.description.abstractBackground: Although new studies and guidelines can be considered useful tools, it does not necessarily mean they are put into clinical practice. Objective: The aim of the current analysis was to assess the changes in primary percutaneous coronary intervention (PCI) and mortality in a tertiary university hospital in southern Brazil during a six-year period. Methods: We have included consecutive patients with ST-elevation myocardial infarction (STEMI) who underwent primary PCI between March 2011 and February 2017. Previous clinical history, characteristics of the procedure, and reperfusion strategies were collected. In-hospital, short and long-term mortalities were also evaluated. The significance level adopted for all tests was 5%. Results: There was an increase in the use of radial access in patients from 20.0% in 2011 to 62.7% in 2016 (ptrend < 0.0001). Moreover, thrombus aspiration decreased significantly from 66.7% in 2011 to less than 3.0% in 2016 (ptrend < 0.0001). In-hospital, short and long-term mortalities remained reasonably stable from 2011 to 2016 (ptrend > 0.05). However, a lower in-hospital mortality was observed in patients treated through radial access (p < 0.001). Cardiogenic shock occurred in 11.1%, without statistical differences in the period (ptrend = 0.39), while long-term mortality rate decreased from 80.0% in 2011 to 27.3% in 2016 in this patient group (ptrend = 0.29). Conclusions: During a 6-year follow-up period, primary PCI characteristics underwent important modifications. Radial access became widely used, with a decrease in mortality with the use of this route, while aspiration thrombectomy became a rare procedure. The incidence of cardiogenic shock remained stable, but has shown a reduction in its mortality.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofInternational journal of cardiovascular sciences. Rio de Janeiro. Vol. 32, no. 3 (2019), p. 125-133pt_BR
dc.rightsOpen Accessen
dc.subjectInfarto do miocárdiopt_BR
dc.subjectMyocardial infarctionen
dc.subjectMortalidadept_BR
dc.subjectPercutaneous coronary interventionen
dc.subjectIntervenção coronária percutâneapt_BR
dc.subjectMortalityen
dc.subjectShocken
dc.subjectChoque cardiogênicopt_BR
dc.subjectCardiogenicen
dc.titleAn overview of care changes in the last 6 year in primary pci in st-elevation myocardial infarction in a tertiary university Brazilian hospitalpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001118466pt_BR
dc.type.originNacionalpt_BR


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