%0 Journal Article
%T Impacto da transfer¨ºncia inter-hospitalar nos resultados da interven£¿£¿o coron¨¢ria percutanea prim¨¢ria
%A Andrade
%A Pedro Beraldo de
%A Tebet
%A Marden Andr¨¦
%A Nogueira
%A Ederlon Ferreira
%A Rinaldi
%A F¨¢bio Salerno
%A Esteves
%A Vin¨ªcius Cardozo
%A Andrade
%A M£¿nica Vieira Athanazio de
%A Barbosa
%A Robson Alves
%A Labrunie
%A Andr¨¦
%A Mattos
%A Luiz Alberto
%J Revista Brasileira de Cardiologia Invasiva
%D 2012
%I Scientific Electronic Library Online
%R 10.1590/S2179-83972012000400004
%X background: delays resulting from the transfer to perform primary percutaneous coronary intervention (pci) have a negative impact on the benefits of the procedure. methods: prospective registry aimed at comparing the results of primary pci in patients with st-segment elevation myocardial infarction (stemi) admitted or transferred to an interventional cath lab equipped hospital. results: between february 2009 and december 2011, 319 patients were included in the study with mean age of 59.8 ¡À 12 years, 28.5% were female and 22.3% were diabetics. patients transferred for primary pci (n = 201) had longer door-to-balloon time (86.4 ¡À 26.6 min vs 69 ¡À 22.6 min; p < 0.0001), a non-significant decrease in st-segment elevation resolution (83.5% vs 90.4%; p = 0.18), final timi 3 flow (90.1% vs 94.1%; p = 0.30), myocardial blush grade 3 (74.3% vs 78.8%; p = 0.22) and angiographic success (90.1% vs 94.1%; p = 0.30), and a non-significant increase in major bleeding (2% vs 0.9%; p = 0.20) and hospital mortality (6.5% vs 4%; p = 0.29). conclusions: the referral of patients with stemi directly to an interventional cath lab equipped hospital is associated with shorter door-to-balloon time and non-significant improvement of reperfusion markers and mortality.
%K myocardial infarction
%K angioplasty
%K patient transfer
%K reperfusion
%K mortality.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S2179-83972012000400004&lng=en&nrm=iso&tlng=en