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Clinical outcomes of patients after using prehospital fibrinolytic therapy: a systematic review
Conclusion: FT was more effective in prehospital treatment to reduce deaths after five years, however, reinfarction and stroke occurred similarly in the sample analyzed. The time factor reduced clinical outcomes, especially when the implemented therapy occurred within two hours after the occurrence of STEMI. Thus, although the interventions presented similar outcomes. However, FT may represent a viable treatment in places where PPCI cannot be achieved in a timely manner.
Source: Acta Paulista de Enfermagem - October 26, 2020 Category: Nursing Source Type: research

Standardising care for heart attack (STEMI) patients, Ireland
Under a reform agenda, the Health Service Executive (HSE) in Ireland initiated the National Clinical Programme for Acute Coronary Syndrome (ACS) in 2010, as a joint venture with the Royal College of Physicians of Ireland (RCPI). Early attention was focussed on treatment of patients with ST elevation myocardial infarction (STEMI) as treatment varied nationally depending on distance from a Cardiac centre offering 24/7 primary Percutaneous Coronary Intervention (PPCI) (direct clot removal), a more effective treatment with less complications but requiring specialised facilities compared with thrombolysis (clot dissolving drug ...
Source: International Journal of Integrated Care - August 1, 2017 Category: Nursing Source Type: research

Fasting may not be required before percutaneous coronary intervention
Commentary on: Hamid T, Aleem Q, Lau Y, et al.. Pre-procedural fasting for coronary interventions: is it time to change practice? Heart 2014;100:658–61. Implications for practice and research The results of this study suggest that percutaneous coronary intervention (PCI) can be safely conducted without preprocedural fasting. Revision is needed of current fasting protocols. The findings of Hamid and colleagues must be confirmed by further randomised trials. Context PCI is currently performed in hospitals around the world. This procedure is generally conducted with light sedation and local anaesthesia. Patients are rou...
Source: Evidence-Based Nursing - March 19, 2015 Category: Nursing Authors: de Aguilar-Nascimento, J. E., Feguri, G. R. Tags: Adult nursing, Pneumonia (infectious disease), TB and other respiratory infections, Stroke, Diet, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research

Early ambulation after percutaneous coronary intervention does not increase bleeding risk compared with late ambulation
Commentary on: Tongsai S, Thamlikitkul V. The safety of early versus late ambulation in the management of patients after percutaneous coronary interventions: a meta-analysis. Int J Nurs Stud 2012;49:1084–90. Implications for practice and research Early ambulation after percutaneous coronary intervention (PCI) may facilitate earlier hospital discharge and improve patient comfort. There are a limited number of randomised clinical trials assessing the safety of this strategy. This meta-analysis suggests that earlier ambulation was not associated with an increased risk of adverse bleeding events. Context The number of PC...
Source: Evidence-Based Nursing - June 6, 2013 Category: Nursing Authors: Juergens, C. Tags: Adult nursing, Drugs: cardiovascular system, Stroke, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research

Air Versus Ground Transport for Patients With ST-Elevation Myocardial Infarction: Does Transport Type Affect Patient Outcomes?
This study was conducted to examine whether air versus ground transport from non–percutaneous coronary intervention (PCI) centers to PCI centers affects the health and quality of life of persons with ST-elevation myocardial infarction (STEMI) 30 days after cardiac interventional treatment.Methods: Data for the analysis were collected between January 2006 and December 2008 for 195 patients with STEMI who received no thrombolytic therapy but were transported by air or ground from non-PCI centers to PCI centers for cardiac intervention.Results: Although the observed differences were not statistically significant because of ...
Source: Journal of Emergency Nursing: JEN - July 16, 2012 Category: Nursing Authors: Denise Baylous, Harry J. Tillman, Melanie W. Smith Tags: Research Source Type: research