Cor Vasa 2015, 57(1):e45-e49 | DOI: 10.1016/j.crvasa.2014.10.001

Early discharge (within 72 h) in low risk patients after acute ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention. Single centre experience

Kamil Novobílský^*, Radim Kryza, Petr Černý, Vladimír Kaučák, Jan Mrózek, Ivo Horák

Kardiologie, Městská nemocnice Ostrava, Ostrava, Česká republika

Within past decades the clear trend towards the shortening of the hospital stay in patients with myocardial infarction with ST segment elevations (STEMI) has been observed. The current Guidelines of European Society of Cardiology for the management of acute STEMI state that in the selected patients may be considered early discharge (after approximately 72 h), if adequate follow-up is arranged.
Authors present prospective analysis of 25 low risk patients with STEMI, treated with successful primary percutaneous coronary intervention (PCI) and discharged within 48-72 h after admission.
Only 1 unplanned hospitalization for non-cardiac cause and no other serious complications were observed within 30-day follow-up.
Presented data demonstrate that early discharge after STEMI in selected low risk patients is feasible and safe with regard to the conditions of regular clinical practice. This strategy applies to at least 14% patients with low risk of subsequent complications.

Keywords: Early discharge; Feasibility; Low risk; Myocardial infarction with ST segment elevation; Primary percutaneous coronary intervention; Safety

Received: August 25, 2014; Revised: October 19, 2014; Accepted: October 20, 2014; Published: February 1, 2015  Show citation