Shah Nd, Yost Gw, Hannan El, Zhong Y, Venditti Fj, Holmes Dr, Stamato N, S. Sk, Jacobs Ak, Iii Sbk, Berger Pb
{"title":"Length of stay and 30 day mortality in patients suffering an uncomplicated ST-elevation myocardial infarction treated with primary percutaneous coronary intervention in New York State","authors":"Shah Nd, Yost Gw, Hannan El, Zhong Y, Venditti Fj, Holmes Dr, Stamato N, S. Sk, Jacobs Ak, Iii Sbk, Berger Pb","doi":"10.14312/2399-8202.2023-1","DOIUrl":"https://doi.org/10.14312/2399-8202.2023-1","url":null,"abstract":"We studied the duration of hospitalization and clinical outcome of patients with an uncomplicated STEMI (ST-elevation myocardial infarction) treated with primary percutaneous coronary intervention (PCI) in New York State between 2007 and 2009. Among the 4,939 such patients, 1,818 were discharged after 2 nights, and 1,922 were discharged after 3 nights. There were no deaths on the day after discharge among patients discharged after 2 nights. There was also no significant difference in 30-day mortality or readmission between patients discharged after 2 and 3 nights. In conclusion, 24-hour mortality was very low in patients with an uncomplicated STEMI discharged after 2 nights in the hospital, based on physician judgment. Thirty-day mortality is also low and similar to that of patients discharged after 3 nights in the hospital.","PeriodicalId":161763,"journal":{"name":"Journal of Clinical and Interventional Cardiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130088227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthy farmer presenting with chest pain and bradycardia during peak COVID season","authors":"Siu Ssy, A. Norwood, Varma Mc","doi":"10.14312/2399-8202.2020-1","DOIUrl":"https://doi.org/10.14312/2399-8202.2020-1","url":null,"abstract":"This was a patient who got admitted with three related cardiological presentations during the same admission. Initially he presented with an Inferior ST-elevation myocardial infarction (STEMI) and bradycardia. Following primary percutaneous coronary intervention (PPCI) to the right coronary artery (RCA), he was found to be in complete heart block and new onset atrial fibrillation was noted. This case proved to be interesting and challenging at the same time in view of constantly evolving factors during the peak coronavirus disease (COVID-19) pandemic. There was a great deal of uncertainty over the course of patient's illness not only due to cardiological issues, particularly arrhythmias relating to COVID, but also due to high levels of staff illness, rapidly evolving clinical guidance and emergence of data introducing new variables to consider. The clinical team not only dealt with his initial presenting symptom (chest pain- PPCI) promptly and effectively, but also carefully evaluated his subsequent new unexpected symptoms (bradycardia- pacemaker insertion) and new onset angina (further PCI to LAD) with equal vigour and seriousness, resulting in excellent final results for all of his three conditions with complete and total resolution of all symptoms. We therefore managed to discharge him successfully in spite of unusual challenges noted due to the pandemic situation. We managed to observe highest level protective measures, preventing him from acquiring COVID whilst surrounded by COVID positive and suspected patients and staff.","PeriodicalId":161763,"journal":{"name":"Journal of Clinical and Interventional Cardiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133522051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PCI for in-stent restenosis in a patient with acute coronary syndrome, cardiogenic shock and thrombocytopenia secondary to myelodysplastic syndrome","authors":"A. Laghari, H. Ky, M. Khursheed, K. Kazmi","doi":"10.14312/2399-8202.2018-2","DOIUrl":"https://doi.org/10.14312/2399-8202.2018-2","url":null,"abstract":"","PeriodicalId":161763,"journal":{"name":"Journal of Clinical and Interventional Cardiology","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128469657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}