Table 3.
In-hospital management (diagnostic and therapeutic interventions/procedures)
| In-hospital management, n (% of patients with information) | STEMI (n=514) | UA/NSTEMI (n=520) |
|---|---|---|
| Thrombolysis | ||
| Yes | 62 (12.1) | 0 (0.0) |
| No | 451 (87.7) | 520 (100.0) |
| Cardiac catheterization | ||
| Yes | 497 (96.7) | 482 (92.7) |
| No | 10 (1.9) | 27 (5.2) |
| Number of procedures | ||
| Any | 497 (96.7) | 482 (92.7) |
| 1 | 460 (92.6) | 468 (97.1) |
| 2 | 37 (7.2) | 14 (2.7) |
| 3 | 3 (0.6) | 1 (0.2) |
| First application | ||
| Type of procedure | ||
| Primary/direct | 372 (74.8) | 44 (9.1) |
| Rescue | 19 (3.8) | 0 (0.0) |
| Facilitated | 5 (1.0) | 9 (1.9) |
| Routine early invasive strategy | 98 (19.7) | 409 (84.9) |
| Other | 3 (0.6) | 20 (4.1) |
| Any PCI | ||
| Yes | 452 (87.9) | 289 (55.6) |
| No | 55 (10.7) | 220 (42.3) |
| Any CABG | ||
| Yes | 8 (1.6) | 16 (3.1) |
| No | 506 (98.4) | 502 (96.5) |
| Reperfusion (PCI and/or thrombolysis) | ||
| Yes | 470 (91.4) | 289 (55.6) |
| No | 41 (8.0) | 220 (42.3) |
| Time from symptom onset to first PCI (h)* | ||
| n | 448 | 282 |
| Median (min–max) | 4.20 (0.0–806.6) | 26.25 (0.0–696.0) |
| Patients with any procedure | 497 (96.7) | 482 (92.7) |
| Coronary stenosis (>50%) | 488 (98.2) | 427 (88.6) |
| Femoral vascular access | 877 (91.5) | 837 (90.6) |
| PCI | 446 (89.7) | 280 (58.1) |
| Number of stents | ||
| 1 | 339 (68.2) | 208 (43.2) |
| 2 | 72 (14.5) | 49 (10.2) |
| Second application | ||
| Patients with any type of procedure | 37 (7.2) | 14 (2.7) |
| Femoral vascular access | 37 (100.0) | 14 (100.0) |
| Percutaneous cardiac intervention | 24 (64.9) | 13 (92.9) |
| Number of stents | ||
| 1 | 17 (45.9) | 5 (35.7) |
| 2 | 2 (5.4) | 2 (14.3) |
| Laboratory testing | ||
| On admission | ||
| White blood count, /uL | ||
| n | 498 | 499 |
| Mean (SD) | 12188.6 (3924.11) | 9114.2 (2761.17) |
| Initial creatinine, mg/dL | ||
| n | 507 | 510 |
| Mean (SD) | 0.943 (0.3719) | 0.971 (0.5373) |
| Blood glucose, mg/dL | ||
| n | 479 | 481 |
| Mean (SD) | 150.0 (69.57) | 139.0 (80.43) |
| Hemoglobin, g/dL | ||
| n | 505 | 515 |
| Mean (SD) | 14.43 (1.661) | 13.92 (1.773) |
| Hematocrit, % | ||
| n | 506 | 514 |
| Mean (SD) | 42.9 (4.86) | 41.4 (5.13) |
| During hospitalization | ||
| Peak creatinine, mg/dL | ||
| n | 493 | 474 |
| Mean (SD) | 1.052 (0.4861) | 1.043 (0.5800) |
| Positive cardiac markers | 498 (96.9) | 266 (51.2%) |
| Other diagnostic and therapeutic procedures | ||
| Echocardiography | 405 (78.8) | 382 (73.5%) |
| Non-Invasive testing | 3 (0.6) | 9 (1.7) |
| Resuscitation | 20 (3.9) | 0 (0.0) |
| Mechanical ventilation | 7 (1.4) | 0 (0.0) |
| Intra-aortic balloon pumping | 3 (0.6) | 3 (0.6) |
| Temporary pacemaker | 8 (1.6) | 1 (0.2) |
| Cardiac resynchronization therapy | 0 (0.0) | 4 (0.8) |
| Cardiac surgery (CABG) | ||
| Total | 8 (1.6) | 16 (3.1) |
| Urgent | 3 (37.5) | 10 (62.5) |
CABG - coronary artery bypass graft; MRI - magnetic resonance imaging; NSTEMI - non-ST-segment elevation myocardial infarction; PCI - percutaneous cardiac intervention; SD - standard deviation; STEMI - ST-segment elevation myocardial infarction; UA - unstable angina.
*
Calculated to the nearest day where time of symptom onset and/or time of PCI are unknown; PCIs with start date prior to symptom onset are excluded from this calculation