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Timing of percutane...
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Lindholm, DanielUppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR),Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden; Uppsala Clinical Research Center, Dag Hammarskjölds väg 14B, 1 tr, SE-752 37 Uppsala, Sweden
(författare)
Timing of percutaneous coronary intervention in patients with non-ST-elevation myocardial infarction : a SWEDEHEART study
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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2016-08-28
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Oxford University Press,2017
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-265012
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-265012URI
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https://doi.org/10.1093/ehjqcco/qcw044DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-64832URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-145039URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:228927193URI
Kompletterande språkuppgifter
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agency:AstraZeneca within the Externally Sponsored Research Programme ESR-14-10720
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AimsAlthough routine invasive management is recommended in NSTEMI patients, the optimal timing of the procedure is not defined. The aim of this study was to assess outcomes in relation to timing of PCI in NSTEMI patients.Methods and resultsThis was an observational, prospective, multicentre cohort study from the SWEDEHEART registry including all Swedish PCI centres. We included 40 494 consecutive PCI-treated patients who were admitted to any coronary care unit from 2006 to 2013. The primary outcome was all-cause death, and secondary outcomes were recurrent myocardial infarction (MI), stent thrombosis, and severe in-hospital bleeding. Outcomes were assessed within 1 year from admission in relation to pre-specified cut-offs to define early PCI: within 1, 2, or 3 days. Patients who received delayed PCI, compared with those who did not, were older, and had a higher prevalence of comorbidities (hypertension, hyperlipidaemia, diabetes, and prior stroke) but showed similar angiographic findings. Cox mixed-effects models showed a lower risk of all-cause death with early PCI across all three cut-offs: HR (95% CI) of 0.88 (0.80–0.98), 0.78 (0.71–0.86), and 0.75 (0.68–0.84), for the 1-, 2-, and 3-day cut-offs, respectively. Early PCI was associated with lower risk of recurrent MI for the 2- and 3-day cut-offs, but not for the 1-day cut-off. The reported rates of severe in-hospital bleeding were low, but tended to be higher in patients receiving delayed PCI.ConclusionIn patients undergoing PCI for NSTEMI, early invasive treatment is associated with lower risk of ischaemic outcomes.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Alfredsson, Joakim,1962-Linköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US(Swepub:liu)joaal38
(författare)
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Angerås, OskarSahlgrens Univ Hosp, Dept Cardiol, Gothenburg, Sweden,Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
(författare)
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Böhm, FelixKarolinska Institutet
(författare)
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Calais, Fredrik,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden,Orebro Univ, Dept Cardiol, Fac Hlth, Orebro, Sweden(Swepub:oru)fcs
(författare)
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Koul, SashaLund Univ, Dept Cardiol, Clin Sci, Lund, Sweden,Department of Cardiology, Clinical Sciences, Lund University, Lund, Sweden
(författare)
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Lagerqvist, BoUppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR),Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden; Uppsala Clinical Research Center, Dag Hammarskjölds väg 14B, 1 tr, SE-752 37 Uppsala, Sweden(Swepub:uu)bolager
(författare)
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Renlund, HenrikUppsala universitet,Uppsala kliniska forskningscentrum (UCR),Uppsala Clinical Research Center, Dag Hammarskjölds väg 14B, 1 tr, SE-752 37 Uppsala, Sweden(Swepub:uu)henre358
(författare)
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Sarno, GiovannaUppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR),Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden; Uppsala Clinical Research Center, Dag Hammarskjölds väg 14B, 1 tr, SE-752 37 Uppsala, Sweden(Swepub:uu)giosa853
(författare)
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Varenhorst, ChristophUppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR),Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden; Uppsala Clinical Research Center, Dag Hammarskjölds väg 14B, 1 tr, SE-752 37 Uppsala, Sweden(Swepub:uu)chrva923
(författare)
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Uppsala universitetKardiologi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Heart Journal - Quality of Care and Clinical Outcomes: Oxford University Press3:1, s. 53-602058-52252058-1742
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Lindholm, Daniel
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Alfredsson, Joak ...
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Angerås, Oskar
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Böhm, Felix
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Calais, Fredrik, ...
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Koul, Sasha
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Lagerqvist, Bo
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Renlund, Henrik
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Sarno, Giovanna
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