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Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction: Late is Better Than Not Done at All

Heart Science Journal · Vol. 1 No. 3 (2020) · hlm. 21–26

DOI
10.21776/ub.hsj.2020.001.03.5
ISSN
2721-9984, 2721-9976
Terbit
2020-10-25
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BackgroundÂ: For ST-segment elevation myocardial infarction (STEMI) patients, reperfusion through primary percutaneous coronary intervention (PCI) must be done to return the coronary arteries' blood flow. However, a large proportion of patients received late PCI. This study aimed to assess the impact of late PCI on the clinical outcomes of STEMI patients.MethodsÂ: A retrospective cohort study was conducted in Saiful Anwar General Hospital from January 2017 to April 2018. A total of 192 STEMI patients were divided into three groups: (1) on-time PCI; (2) late PCI; and (3) no PCI. The outcome measured included six months and 12 months of cardiovascular mortality and hospital readmission because of worsening heart failure and recurrent myocardial infarction (MI).Results: At six-month follow-up period, we found that hospital readmission was higher in the no PCI group (9.2% vs. 12.1% vs. 34.8%; p = 0.009). The recurrent MI (0% vs. 0% vs. 7.2%; p = 0.010) and worsening heart failure (6.2% vs. 8.6% vs. 33.3%; p < 0.001) was also higher in the no PCI group. On 12 months follow up period, the mortality (4.6% vs. 13.8% vs. 21.7%; p = 0.015) and hospital readmission (15.4% vs. 20.7% vs. 42%; p = 0.001) rate was higher in no PCI group. Hospital readmission because of worsening heart failure was also higher in no PCI group (9.2% vs. 17.2% vs. 37.7%; p = 0.015).Conclusion: Not performing revascularization was correlated with higher mortality and hospital readmission rate in STEMI patients. Late PCI was associated with better outcomes than not conducting revascularization.

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Rekan penulisOrganisasiArtikel bersama
Novi KurnianingsihUniversity of Brawijaya43
Anna Fuji RahimahUniversity of Brawijaya41
Setyasih AnjarwaniUniversity of Brawijaya40
Ardian RizalUniversity of Brawijaya37
Indra PrasetyaUniversity of Brawijaya34
Djanggan SargowoUniversity of Brawijaya33
Heny MartiniUniversity of Brawijaya25
Adhika Prastya WikanandaUniversity of Brawijaya8
Putri Annisa KamilaUniversity of Brawijaya8
Dadang HendrawanUniversity of Brawijaya8
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya8
Wella KarolinaUniversity of Brawijaya7
Anna Fuji RahimahAfiliasi tidak diketahui7
Tri AstiawatiUniversity of Brawijaya6
Valerinna YogibuanaAfiliasi tidak diketahui6
Ayu Asri Devi AdityawatiUniversity of Brawijaya6
Shalahuddin Suryo BaskoroUniversity of Brawijaya6
Hayla Iqda MillisaniUniversity of Brawijaya5
Ratna PancasariUniversity of Brawijaya5
Imelda KrisnasariUniversity of Brawijaya5
Seprian WidasmaraUniversity of Brawijaya5
Evit RuspionoAfiliasi tidak diketahui5
Fandy HazzyUniversity of Brawijaya4
Saskia Dyah HandariUniversity of Brawijaya4
Oktivani Adelathifa RahmaUniversity of Brawijaya4
Dea Arie KurniawanUniversity of Brawijaya4
Teguh AryanugrahaUniversity of Brawijaya4
Nikhen NoverikeUniversity of Brawijaya4
Ira Vori NugrohoUniversity of Brawijaya4
Fahmy RusnantaUniversity of Brawijaya3
Krishna Ari NugrahaUniversity of Brawijaya3
Zhafran VeliawanUniversity of Brawijaya3
Puspa LestariUniversity of Brawijaya2

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction: Late is Better Than Not Done at All</dc:title>
	<dc:creator xml:lang="en">Hendrawati, Hendrawati</dc:creator>
	<dc:creator xml:lang="en">Rohman, Mohammad Saifur</dc:creator>
	<dc:creator xml:lang="en">Tjahjono, Cholid Tri</dc:creator>
	<dc:creator xml:lang="en">Widito, Sasmojo</dc:creator>
	<dc:creator xml:lang="en">Satrijo, Budi</dc:creator>
	<dc:creator xml:lang="en">Waranugraha, Yoga</dc:creator>
	<dc:creator xml:lang="en">Fadlan, Muhammad Rizki</dc:creator>
	<dc:subject xml:lang="en">Angiotensin-converting enzyme inhibitor</dc:subject>
	<dc:subject xml:lang="en">Heart failure</dc:subject>
	<dc:subject xml:lang="en">Optimal dose</dc:subject>
	<dc:description xml:lang="en">Background : For ST-segment elevation myocardial infarction (STEMI) patients, reperfusion through primary percutaneous coronary intervention (PCI) must be done to return the coronary arteries' blood flow. However, a large proportion of patients received late PCI. This study aimed to assess the impact of late PCI on the clinical outcomes of STEMI patients.Methods : A retrospective cohort study was conducted in Saiful Anwar General Hospital from January 2017 to April 2018. A total of 192 STEMI patients were divided into three groups: (1) on-time PCI; (2) late PCI; and (3) no PCI. The outcome measured included six months and 12 months of cardiovascular mortality and hospital readmission because of worsening heart failure and recurrent myocardial infarction (MI).Results: At six-month follow-up period, we found that hospital readmission was higher in the no PCI group (9.2% vs. 12.1% vs. 34.8%; p = 0.009). The recurrent MI (0% vs. 0% vs. 7.2%; p = 0.010) and worsening heart failure (6.2% vs. 8.6% vs. 33.3%; p &amp;lt; 0.001) was also higher in the no PCI group. On 12 months follow up period, the mortality (4.6% vs. 13.8% vs. 21.7%; p = 0.015) and hospital readmission (15.4% vs. 20.7% vs. 42%; p = 0.001) rate was higher in no PCI group. Hospital readmission because of worsening heart failure was also higher in no PCI group (9.2% vs. 17.2% vs. 37.7%; p = 0.015).Conclusion: Not performing revascularization was correlated with higher mortality and hospital readmission rate in STEMI patients. Late PCI was associated with better outcomes than not conducting revascularization.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2020-10-25</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/136</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2020.001.03.5</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 1 No. 3 (2020): Management of Coronary Artery Disease: From Risk Factors to The Better Long-Term Outcomes; 21-26</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2020.001.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/136/317</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2020 Hendrawati Hendrawati</dc:rights>
</oai_dc:dc>