Same Day Discharge Strategy for Primary Percutaneous Coronary Intervention: A Safety and Feasibility Approach| Chapter 4 | Current Overview on Disease and Health Research Vol. 9

 This branch aims to assess the security of early discharge after basic percutaneous coronary attack (PCI) in selected reduced-risk patients in the population of Karachi, Pakistan.In this study, 600 depressed-risk patients the one underwent basic PCI and were released inside 48 hours were continuously listened for major unfavorable cardiac events (MACE) following in position or time 7, and then later 30 days.In this study, the sample consisted of 81.8% (491) male victims with mean age of 54.89 ± 11.08 age. Killip class was I in 90% (540) of the patients. The findings displayed that majority of victims (84%) were discharged inside 24 hours of the procedure. Loss to effect after rate at 7 and 30 days was 4% (24) and 4.3% (26) individually. Cumulative MACE rate after 7 and 30 days was seen in 3.5% and 4.9%, all-cause mortality in 1.4% and 2.3%, cerebrovascular occurrences in 0.9% and 1.4%, unplanned revascularization in 0.9% and 1.2%, re-barrier in 0.3% and 0.5%, unplanned re-therapy in 0.5% and 0.5%, and bleeding occurrences in 0.5% and 0.5% of the patients respectively.It was found that very early ( 24 hours) discharge after basic PCI for low-risk victims is a safe order when subjected to cautious pre-discharge risk assessment, accompanying a low rate of MACE following in position or time 7 and 30 days.

Author(s) Details:

Jehangir Ali Shah,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Tahir Saghir,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Bashir Ahmed,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Syed Alishan ul Haq,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Rajesh Kumar,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Muhammad Naeem Mengal,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Mehwish Zehra,
Jinnah Post Graduate Medical Center (JPMC), Karachi, Pakistan.

Syeda Sakeena Raza,
Jinnah Sindh Medical University (JSMU), Karachi, Pakistan.

Musa Karim,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Nadeem Qamar,
National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan.

Please see the link here: https://stm.bookpi.org/CODHR-V9/article/view/9181