0000000000402470
AUTHOR
Juan Sanchis-forés
Effect of part-time cardiac catheterization facilities in patients with acute myocardial infarction
Although the easy availability of invasive cardiac care facilities is associated with an increase in their use, their influence on outcomes is not clear. We sought to investigate whether a newly available cardiac catheterization laboratory (CCL) performing percutaneous coronary intervention (PCI) on a part-time (PT) basis might improve outcomes in patients with acute myocardial infarction (AMI).This was an observational cohort study that included all consecutive patients with AMI admitted to a secondary-level hospital in Spain before and after the PT-CCL opened in January 2006: during 1998-2005 and 2006-2014, respectively. All-cause in-hospital and long-term mortality were the co-primary en…
Valor predictivo de la presentación clínica del dolor torácico en el diagnóstico de los síndromes coronarios agudos
Fundamento y objetivo Presentamos la utilidad diagnostica de la cuantificacion del dolor toracico en pacientes con dolor toracico de posible origen coronario. Pacientes y metodo Se estudio a 1.068 pacientes consecutivos que acudieron a un servicio de urgencias por dolor toracico de posible origen coronario sin elevacion del segmento ST, siguiendo un protocolo de unidad de dolor toracico. El dolor toracico se cuantifico mediante un sistema de puntuacion (0 a 20 puntos). Se determino el valor diagnostico de la puntuacion de dolor toracico para predecir el diagnostico final de infarto agudo de miocardio (IAM), angina inestable (AI) y sindrome coronario agudo (SCA; IAM o AI). Resultados Se diag…