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Revista Argentina de Cardiología
Article . 2023 . Peer-reviewed
License: CC BY NC SA
Data sources: Crossref
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Estudio AHORA 6: Angioplastia coronaria con alta HOspitalaria RÁpida en 6 horas

pp. 215-218
Authors: Gabriel F. Dionisio; Sergio A. Centeno; Alicia L. Terragno; Leandro Puerta; Pablo Olmedo; María C. Etcheverry; Sergio D. Brandeburgo; +3 Authors

Estudio AHORA 6: Angioplastia coronaria con alta HOspitalaria RÁpida en 6 horas

Abstract

Background: 24-hour hospitalization is common practice in patients (P) who underwent scheduled coronary angioplasty (PCI).Previous experiences propose same-day discharge in selected P.Methods: Prospective, comparative, randomized, single-blind study. P aged 18 to 75 years were included as candidates for ascheduled radial-access PCI with the possibility of accessing the emergency system in less than 40 minutes. P with left ventricularejection fraction <30%, creatinine >1.5 mg/dL, heart failure, chronic obstructive pulmonary disease, decompensated diabetes or very complex coronary anatomy were excluded. The population was divided in two groups (G). G 1: same-day discharge in 6 hours. G2: discharge the next day. Primary endpoint: death or need for rehospitalization within 24 hours of the procedure. Follow-up was carried out by phone the night of the procedure and the next morning, in person at 48 hours, and by telephone after a month, six months and a year. Continuous variables were expressed as median and their respective interquartile range, and qualitative variables as percentages.Results: 80 P were randomized. Six P (7.5%) presented exclusion criteria during the procedure. There were no deaths or major cardiovascular events in either groups. At one year of follow-up, 3.75% of in-stent restenosis was detected. Troponin elevation was detected in 20 P (25%); 4 were P excluded due to complications during PCI, in the remaining 16 it had no clinical repercussion.Conclusion: In a population of patients between 55 and 75 years old, mostly male, with a high prevalence of previous myocardial infarction, and ventricular function depression, a scheduled radial-access PCI could be performed with same day discharge in 6 hours, with an adequate safety margin. How to cite this article: Dionisio GF, Centeno SA, Terragno AL, Puerta LG, Olmedo P, Etcheverry MC, et al. Early Hospital Discharge (Within Six Hours) for Patients Undergoing Coronary Angioplasty. Rev Argent Cardiol 2022;90:206-9. http://dx.doi.org/10.7775/rac.v90.i3.20520

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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