Author/Authors :
Sadeghi، نويسنده , , H. Mehrdad and Grines، نويسنده , , Cindy L. and Chandra، نويسنده , , Harish R. and Mehran، نويسنده , , Roxana and Fahy، نويسنده , , Martin and Cox، نويسنده , , David A. and Garcia، نويسنده , , Eulogio and Tcheng، نويسنده , , James E. and Griffin، نويسنده , , John J. and Stuckey، نويسنده , , Thomas D. and Lansky، نويسنده , , Alexandra J. and OʹNeill، نويسنده , , William W. and، نويسنده ,
Abstract :
From a prospective, multicenter study of 2,082 patients with acute myocardial infarctions who underwent primary angioplasty, the outcomes of patients presenting during peak hours were compared with those presenting during off-peak hours (weeknights from 8 p.m. to 8 a.m. and weekends). Despite an additional 21-minute mean delay from hospital arrival to reperfusion, patients who underwent primary angioplasty during off-peak hours achieved similar rates of Thrombolysis In Myocardial Infarction grade 3 flow, 30-day and 1-year mortality, and improvement in ejection fraction and regional wall motion as those presenting on weekdays.