The optimal time of elective percutaneous coronary intervention for stable patients after ST elevation myocardial infarction.
OBJECTIVE
To find the optimal time (early: < or =3 days; late: >3 days) for revascularization in ST elevation myocardial infarction (STEMI) patients in the subacute phase.


METHODS
Ninety-nine STEMI patients who were admitted to Gazi University Faculty of Medicine between 2000 and 2004 were enrolled into this study. Patients were divided into 2 groups according to time from the beginning of symptoms to the percutaneous coronary intervention. Coronary angiograms before and after the revascularization were evaluated using the quantitative coronary angiogram technique.


RESULTS
45 early (group I) and 54 late (group II) revascularized patients were evaluated. There were no significant differences between the 2 groups regarding demographic properties, thrombus score, success of the procedure, quantitative angiographic parameters, and clinical results of the procedure.


CONCLUSIONS
Waiting for the development of stable phase in STEMI to apply PCI has no obvious benefit for angiographic and clinical results.
Yazici
Guliz Erdem
GE
Cardiology Department, Gazi University Faculty of Medicine, Ankara, Turkey. gulizerdem76@yahoo.com
Erden
Murat
M
Tacoy
Gulten Aydogdu
GA
Yavuz
Burcu Balam
BB
Turkoglu
Sedat
S
Timurkaynak
Timur
T
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies; D015912:Thrombolytic Therapy; D013997:Time Factors; D016896:Treatment Outcome