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April 13, 2021
Patients presenting late to the hospital with STEMI fare “remarkably” worse than people who get to the hospital within the first 12 hours after symptom onset, but late presentation in and of itself does not independently predict worse outcomes, a large, retrospective analysis from Korea confirms.
However, the nationwide data also point to a steep decline in the use of invasive procedures as time to presentation lengthened, with investigators recording a strong, inverse relationship between use of invasive procedures and mortality.
“Inverse steep differences in the use of invasive interventional procedures and mortality rates were found between the first ( 12 hours) and the second (12 to 24 hours) symptom-to-door time 12-hour interval in STEMI patients presenting at 48 hours, indicating that the practice pattern of interventional procedures might affect the clinical outcomes of STEMI late presenters,” Kyung Hoon Cho, MD, PHD (Chonnam National ....

Northwestern University , United States , South Korea , Kameswari Maganti , Md Northwestern University , Journal Of The American College Cardiology , National Institutes Of Health , Default Strategy , American College , Guideline Directed Medical , வடமேற்கு பல்கலைக்கழகம் , ஒன்றுபட்டது மாநிலங்களில் , தெற்கு கொரியா , ம்ட் வடமேற்கு பல்கலைக்கழகம் , இதழ் ஆஃப் தி அமெரிக்கன் கல்லூரி இருதயவியல் , தேசிய நிறுவனங்கள் ஆஃப் ஆரோக்கியம் , இயல்புநிலை மூலோபாயம் , அமெரிக்கன் கல்லூரி , வழிகாட்டல் இயக்கியது மருத்துவ ,