Clinical manifestations and effects of primary percutaneous coronary intervention for patients with delayed pre-hospital time in acute myocardial infarction

Nomura, Tetsuya; Tatsumi, Tomohide; Sawada, Takahisa; Kojima, Akiteru; Urakabe, Yota; Enomoto-Uemura, Satoko; Nishikawa, Susumu; Keira, Natsuya; Nakamura, Takeshi; Matoba, Satoaki; Yamada, Hiroyuki; Matsumuro, Akiyoshi; Shirayama, Takeshi; Shiraishi, Jun; Kohno, Yoshio; Kikuchi, Makoto; Furukawa, Koichi; Matsubara, Hiroaki

doi:10.1016/j.jjcc.2010.05.004

Cited by 7 publications

(2 citation statements)

References 26 publications

(21 reference statements)

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“…The time from symptom onset to door of PCI facility (OTD) is noteworthy since the OTD time accounts for the greatest percentage of total ischemic duration [11,12]. A decrease in OTD time may be key to prevent sudden death in the acute phase or improvement of medium or long-term mortality by shortening the total ischemic time.…”

Section: Introductionmentioning

confidence: 99%

Impact of transport pathways on the time from symptom onset of ST-segment elevation myocardial infarction to door of coronary intervention facility

Fujii

Masuda

Suzuki

et al. 2014

Journal of Cardiology

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Self-transportation without EMS and inter-hospital transportation were significant factors causing prolongation of the OTD time. Approximately 35% of STEMI patients did not use EMS and 21% of patients were transported to non-PCI facilities even though they called EMS. Awareness in the community as well as among medical professionals to reduce total ischemic time of STEMI is necessary; this involves educating the general public and EMS crews.

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Section: Introductionmentioning

confidence: 99%

Impact of transport pathways on the time from symptom onset of ST-segment elevation myocardial infarction to door of coronary intervention facility

Fujii

Masuda

Suzuki

et al. 2014

Journal of Cardiology

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“…However, because the right ventricle is located under the sternum, early recognition rupture of the right ventricle can be difficult [4]. There are also patient characteristics that can affect the outcome, including older age, female gender, and diabetes mellitus, which were all present in this case [5].…”

Section: Discussionmentioning

confidence: 99%

Fatal Right Ventricular Free Wall Rupture During Percutaneous Coronary Intervention for Inferior Acute Myocardial Infarction

Ueno¹,

Nomura²,

Ono³

et al. 2019

Am J Case Rep

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Patient: Female, 76 Final Diagnosis: Right ventricular free wall rupture Symptoms: Chest pain Medication: — Clinical Procedure: Echocardiography Specialty: Cardiology Objective: Rare disease Background: Ventricular rupture is a complication of acute myocardial infarction (AMI) that results in hemopericardium and cardiac tamponade and has a high mortality rate. Most cases involve the left ventricular free wall, and there have been few previous reports of solitary right ventricular free wall rupture. This report is of a case of fatal right ventricular free wall rupture during percutaneous coronary intervention (PCI) for inferior acute myocardial infarction (AMI). Case Report: A 76-year-old woman underwent emergency coronary angiography following inferior AMI. During angiography and attempted percutaneous coronary intervention (PCI), sudden onset of cardiac arrest occurred due to cardiac tamponade. Blood was drained from the pericardium by pericardiocentesis. Despite of advanced cardiac support, the patient died. The post mortem findings showed a solitary right ventricular free wall rupture due to inferior myocardial infarction. Conclusions: A rare case is presented of right ventricular free wall rupture following AMI that occurred during PCI. This case demonstrates that early diagnosis and management are required to prevent patient mortality.

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Inconsistent measurement of acute coronary syndrome patients’ pre-hospital delay in research: A review of the literature

Mackay

Ratner

Nguyen

et al. 2014

European Journal of Cardiovascular Nursing

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We found few and variable operational definitions of PHD, despite American College of Cardiology/American Heart Association recommendations to report specific intervals. Worryingly, definitions of symptom onset, the most elusive component of PHD to establish, are uncommon. We recommend that researchers (a) report two PHD delay intervals (onset to decision to seek care, and decision to seek care to hospital arrival), and (b) develop, validate and use a definition of symptom onset. This will increase clarity and confidence in the conclusions from, and comparisons within and between studies.

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Clinical manifestations and effects of primary percutaneous coronary intervention for patients with delayed pre-hospital time in acute myocardial infarction

Cited by 7 publications

References 26 publications

Impact of transport pathways on the time from symptom onset of ST-segment elevation myocardial infarction to door of coronary intervention facility

Impact of transport pathways on the time from symptom onset of ST-segment elevation myocardial infarction to door of coronary intervention facility

Fatal Right Ventricular Free Wall Rupture During Percutaneous Coronary Intervention for Inferior Acute Myocardial Infarction

Inconsistent measurement of acute coronary syndrome patients’ pre-hospital delay in research: A review of the literature

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