[Monitoring after acute myocardial infarction].
The prognosis for patients with acute myocardial infarction has dramatically improved within the last decades. Also the length of stay shortened substantially. This review gives an ovreview about the current knowlegde of monitoring and length of hospital stay after acute myocardial infarction. After uncomplicated STEMI monitoring for 24 hours in the CCU without adverse event and discharge on the morning of day 4 is feasible. After uncomplicated NSTEMI patients can be transferred to a step down unit within 24 hours and discharged the day after or after normalisation of the cardiac markers. In patients with complications such as recurrent angina, congestive heart failure, complex ventricular arrhythmias longer monitoring over 48-72 and hospital stays over 7-14 days seem necessary.
Muth
K
K
Herzzentrum Ludwigshafen, Medizinische Klinik B, Ludwigshafen.
Senges
J
J
Zeymer
U
U
D001145:Arrhythmias, Cardiac / Q000209:etiology; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D007902:Length of Stay; D008991:Monitoring, Physiologic / Q000592:standards / Q000639:trends; D009203:Myocardial Infarction / Q000150:complications* / Q000503:physiopathology*; D011379:Prognosis; D012008:Recurrence; D018570:Risk Assessment; D012770:Shock, Cardiogenic / Q000209:etiology; D020521:Stroke / Q000209:etiology; D013997:Time Factors