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Impact of presentat...
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Fabris, EnricoIsala Clinics, Zwolle, the Netherlands, University of Trieste, Trieste, Italy
(författare)
Impact of presentation and transfer delays on complete ST-segment resolution before primary percutaneous coronary intervention : insights from the ATLANTIC trial.
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-139101
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-139101URI
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https://doi.org/10.4244/EIJ-D-16-00965DOI
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Språk:engelska
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Sammanfattning på:engelska
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Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding agencies: AstraZeneca
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AIMS: The aim of this study was to identify predictors of complete ST-segment resolution (STR) pre-primary percutaneous coronary intervention (PCI) in patients enrolled in the ATLANTIC trial.METHODS AND RESULTS: ECGs recorded at the time of inclusion (pre-hospital [pre-H]-ECG) and in the catheterisation laboratory before angiography (pre-PCI-ECG) were analysed by an independent core laboratory. Complete STR was defined as ≥70%. Complete STR occurred pre-PCI in 12.8% (204/1,598) of patients and predicted lower 30-day composite MACCE (OR=0.10, 95% CI: 0.002-0.57, p=0.001) and total mortality (OR=0.16, 95% CI: 0.004-0.95, p=0.035). Independent predictors of complete STR included the time from index event to pre-H-ECG (OR=0.94, 95% CI: 0.89-1.00, p=0.035), use of heparins before pre-PCI-ECG (OR=1.75, 95% CI: 1.25-2.45, p=0.001) and time from pre-H-ECG to pre-PCI-ECG (OR=1.09, 95% CI: 1.03-1.16, p=0.005). In the pre-H ticagrelor group, patients with complete STR had a significantly longer delay between pre-H-ECG and pre-PCI-ECG compared to patients without complete STR (median 53 [44-73] vs. 49 [38.5-61] mins, p=0.001); however, this was not observed in the control group (in-hospital ticagrelor) (50 [40-67] vs. 49 [39-61] mins, p=0.258).CONCLUSIONS: Short patient delay, early administration of anticoagulant and ticagrelor if a long transfer delay is expected may help to achieve reperfusion prior to PCI. Pre-H treatment may be beneficial in patients with longer transfer delays, allowing the drug to become biologically active.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Van't Hof, ArnoudIsala Clinics, Zwolle, the Netherlands
(författare)
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Hamm, Christian WKerckhoff Heart and Thorax Center, Bad Nauheim, Germany
(författare)
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Lapostolle, FrédéricHôpital Avicenne, Bobigny, France
(författare)
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Lassen, Jens FlenstedAarhus University Hospital, Aarhus N, Denmark
(författare)
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Goodman, Shaun GSt. Michael’s Hospital, University of Toronto, Toronto, Canada
(författare)
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Ten Berg, Jurriën MAntonius Hospital Nieuwegein, Nieuwegein, the Netherlands
(författare)
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Bolognese, LeonardoCardiovascular and Neurological Department, Azienda Ospedaliera Arezzo, Arezzo, Italy
(författare)
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Cequier, AngelUniversity of Barcelona, Barcelona, Spain
(författare)
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Chettibi, MohamedCentre Hospitalo Universitaire Frantz Fanon, Blida, Algeria
(författare)
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Hammett, Christopher HRoyal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia
(författare)
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Huber, KurtWilhelminen Hospital and Sigmund Freud Private University, Medical School, Vienna, Austria
(författare)
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Janzon, MagnusLinköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)magja75
(författare)
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Merkely, BélaHeart and Vascular Center, Semmelweis University, Budapest, Hungary
(författare)
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Storey, Robert FUniversity of Sheffield, Sheffield, United Kingdom
(författare)
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Zeymer, UweKlinikum Ludwigshafen and Institut für Herzinfarktforschung, Ludwigshafen, Germany
(författare)
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Cantor, Warren JUniversity of Toronto, Newmarket, Ontario, Canada;
(författare)
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Rousseau, HélèneHospital Lariboisiere, ACTION Study Group, Paris, France
(författare)
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Vicaut, EricHospital Lariboisiere, ACTION Study Group, Paris, France
(författare)
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Montalescot, GillesSorbonne Université Paris 6, ACTION Study Group, Hospital Pitie-Salpetriere (AP-HP), Paris, France
(författare)
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Isala Clinics, Zwolle, the Netherlands, University of Trieste, Trieste, ItalyIsala Clinics, Zwolle, the Netherlands
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:EuroIntervention13:1, s. 69-771774-024X1969-6213
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Fabris, Enrico
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Van't Hof, Arnou ...
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Hamm, Christian ...
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Lapostolle, Fréd ...
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Lassen, Jens Fle ...
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Goodman, Shaun G
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visa fler...
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Ten Berg, Jurrië ...
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Bolognese, Leona ...
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Cequier, Angel
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Chettibi, Mohame ...
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Hammett, Christo ...
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Huber, Kurt
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Janzon, Magnus
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Merkely, Béla
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Storey, Robert F
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Zeymer, Uwe
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Cantor, Warren J
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Rousseau, Hélène
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Vicaut, Eric
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Montalescot, Gil ...
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visa färre...
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EuroIntervention
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