In patients with low-risk acute coronary syndromes who undergo angioplasty and stenting, or medical therapy after coronary angiography, is early discharge (<72 hours) to ambulatory care as safe as conventional 4-5 day hospital stay with no increase in mortality, adverse events or unexpected readmission to hospital?

Cardiology Department Eastern Health0 sites300 target enrollmentFebruary 19, 2013

Overview

No summary available.

Registry

who.int

Start Date

February 19, 2013

End Date

TBD

Last Updated

6 years ago

Study Type

Interventional

Sex

All

Sponsor

Cardiology Department Eastern Health

•Participants who suffer from heart attacks, over 18 years of age and are willing and able to sign informed consent forms

•Age \< 18 years
•Non\-English speaking background patient without English speaking carer.
•Significant medical co\-morbidities such as severe COPD, pre\-existing heart failure, poorly controlled diabetes, and moderate to severe renal impairment
•Lesions that require further revascularization (ie. Staged PCI or CABG)
•Other lesions that have \>70% intra\-luminal stenosis on coronary angiogram and are managed medically
•Ejection Fraction \<40%
•Out of hospital cardiac arrest requiring \>3 x DCRs, intubation or inotropic support
•Unsuccessful or complicated PCI such as no reflow, temporary pacing and perforation.
•Patients who develop non\-cardiac complications within 24 hours after PCI: bleeding, stroke, acute renal impairment, vascular sequelae, groin hematoma \>5cm diameter, active infection or sepsis
•STEMI patients who receive thrombolysis prior to transfer to BHH