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 个研究点目标入组 300 人开始时间: 2013年2月19日最近更新: 2020年1月13日

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•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
•Resides >60km radius from Box Hill Hospital
•Poor social support and pre-existing significant mobility or memory issue
•History of illicit drug use

发起方

Cardiology Department Eastern Health