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The Optimal Time of Elective Percutaneous Coronary Intervention for Stable Patients After ST Elevation Myocardial Infarction

Gazi University Faculty of Medicine, Cardiology Department, Ankara, Turkey, gulizerdem76{at}yahoo.com

Murat Erden, MD

Gazi University Faculty of Medicine, Cardiology Department, Ankara, Turkey

Gulten Aydogdu Tacoy, MD

Gazi University Faculty of Medicine, Cardiology Department, Ankara, Turkey

Burcu Balam Yavuz, MD

Hacettepe University Faculty of Medicine, Internal Medicine, Ankara, Turkey

Sedat Turkoglu, MD

Gazi University Faculty of Medicine, Cardiology Department, Ankara, Turkey

Timur Timurkaynak, MD

Hacettepe University Faculty of Medicine, Internal Medicine, Ankara, Turkey

Objective: To find the optimal time (early: 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.

Key Words: acute myocardial infarction • timing • percutaneous coronary intervention

This version was published on February 1, 2009

Angiology, Vol. 60, No. 1, 67-73 (2009)
DOI: 10.1177/0003319708314248


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