Letter to the Editor
Determinants of safety of early discharge after primary percutaneous coronary intervention
Determinantes de segurança na alta antecipada após intervenção coronária percutânea primária
Levent Cerit
Department of Cardiology, Near East University, Nicosia, Cyprus
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"cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Applicability of the Zwolle risk score for safe early discharge after primary percutaneous coronary intervention in ST-segment elevation myocardial infarction" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "535" "paginaFinal" => "541" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Avaliação da segurança da alta precoce após enfarte agudo do miocárdio com supradesnivelamento do segmento ST submetido a intervenção coronária percutânea primária: o <span class="elsevierStyleItalic">Score</span> de Zwolle" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0020" "etiqueta" => 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ZRS: Zwolle risk score.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "António Tralhão, António Miguel Ferreira, Sérgio Madeira, Miguel Borges Santos, Mariana Castro, Ingrid Rosário, Marisa Trabulo, Carlos Aguiar, Jorge Ferreira, Manuel Sousa Almeida, Miguel Mendes" "autores" => array:11 [ 0 => array:2 [ "nombre" => "António" "apellidos" => "Tralhão" ] 1 => array:2 [ "nombre" => "António Miguel" "apellidos" => "Ferreira" ] 2 => array:2 [ "nombre" => "Sérgio" "apellidos" => "Madeira" ] 3 => array:2 [ "nombre" => "Miguel" "apellidos" => "Borges Santos" ] 4 => array:2 [ "nombre" => "Mariana" "apellidos" => "Castro" ] 5 => array:2 [ "nombre" => "Ingrid" "apellidos" => "Rosário" ] 6 => array:2 [ "nombre" => "Marisa" "apellidos" => "Trabulo" ] 7 => array:2 [ "nombre" => "Carlos" "apellidos" => "Aguiar" ] 8 => array:2 [ "nombre" => "Jorge" "apellidos" => "Ferreira" ] 9 => array:2 [ "nombre" => "Manuel Sousa" "apellidos" => "Almeida" ] 10 => array:2 [ "nombre" => "Miguel" "apellidos" => "Mendes" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204915001853" "doi" => "10.1016/j.repce.2015.08.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204915001853?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255115001845?idApp=UINPBA00004E" "url" => "/08702551/0000003400000009/v1_201509110034/S0870255115001845/v1_201509110034/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Determinants of safety of early discharge after primary percutaneous coronary intervention" "tieneTextoCompleto" => true "saludo" => "To the Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "71" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Levent Cerit" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Levent" "apellidos" => "Cerit" "email" => array:1 [ 0 => "drcerit@hotmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Cardiology, Near East University, Nicosia, Cyprus" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Determinantes de segurança na alta antecipada após intervenção coronária percutânea primária" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I read the article entitled “Applicability of the Zwolle risk score for safe early discharge after primary percutaneous coronary intervention in ST-segment elevation myocardial infarction” by Tralhão et al.,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> published in <span class="elsevierStyleItalic">Revista Portuguesa de Cardiologia</span> in 2015, with great interest. The investigators reported that the Zwolle risk score (ZRS) showed excellent discriminative ability to identify low-risk ST-elevation myocardial infarction (STEMI) patients who could be safely discharged within 72 hours of primary percutaneous coronary intervention (PPCI).<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">According to current recommendations, patients with a ZRS ≤3 are considered at low risk and are eligible for discharge 72 h after PPCI.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The ZRS is based on age, heart failure signs, localization of infarction, ischemia time, number of diseased coronary vessels, and post-procedural angiographic result, and has been shown to predict 30-day post-discharge mortality.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Natriuretic peptides have been shown to provide additional prognostic information in patients with STEMI.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Brain natriuretic peptide (BNP) levels can act as a global marker reflecting myocardial damage and heart failure.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> Ganovska et al.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> reported that patients with high ZRS and BNP ≤200 pg/ml had similar mortality and hospital stay to those with low ZRS. In this context, it might be useful to measure serum natriuretic peptide levels due to their prognostic significance.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Microvascular obstruction (MVO) occurs frequently in patients with STEMI even after prompt revascularization of the culprit artery. Depending on the severity of the ischemic injury, microvascular injury can lead to MVO, and MVO can lead to intramyocardial hemorrhage (IMH). Microvascular damage and reperfusion injury after STEMI are important markers of outcomes. Cardiac magnetic resonance (CMR) provides a comprehensive analysis of myocardial infarction, including assessment of myocardial scar, MVO, and IMH.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> In this context, it might be beneficial to assess MVO and IMH by CMR in order to identify patients eligible for early discharge.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Applicability of the Zwolle risk score for safe early discharge after primary percutaneous coronary intervention in ST-segment elevation myocardial infarction" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A. 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Helanova" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijcard.2016.04.148" "Revista" => array:6 [ "tituloSerie" => "Int J Cardiol" "fecha" => "2016" "volumen" => "215" "paginaInicial" => "527" "paginaFinal" => "531" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27155548" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of microvascular obstruction and intramyocardial hemorrhage by CMR on LV remodeling and outcomes after myocardial infarction: a systematic review and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "Y.S. Hamirani" 1 => "A. Wong" 2 => "C.M. 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| 2023 Abril | 18 | 0 | 18 |
| 2023 Maro | 25 | 21 | 46 |
| 2023 Fevereiro | 24 | 19 | 43 |
| 2023 Janeiro | 16 | 9 | 25 |
| 2022 Dezembro | 28 | 17 | 45 |
| 2022 Novembro | 38 | 25 | 63 |
| 2022 Outubro | 31 | 19 | 50 |
| 2022 Setembro | 37 | 35 | 72 |
| 2022 Agosto | 26 | 30 | 56 |
| 2022 Julho | 42 | 32 | 74 |
| 2022 Junho | 21 | 21 | 42 |
| 2022 Maio | 23 | 21 | 44 |
| 2022 Abril | 36 | 36 | 72 |
| 2022 Maro | 33 | 40 | 73 |
| 2022 Fevereiro | 24 | 34 | 58 |
| 2022 Janeiro | 23 | 26 | 49 |
| 2021 Dezembro | 20 | 20 | 40 |
| 2021 Novembro | 37 | 37 | 74 |
| 2021 Outubro | 35 | 38 | 73 |
| 2021 Setembro | 25 | 35 | 60 |
| 2021 Agosto | 32 | 36 | 68 |
| 2021 Julho | 18 | 21 | 39 |
| 2021 Junho | 14 | 19 | 33 |
| 2021 Maio | 23 | 31 | 54 |
| 2021 Abril | 52 | 41 | 93 |
| 2021 Maro | 76 | 24 | 100 |
| 2021 Fevereiro | 62 | 13 | 75 |
| 2021 Janeiro | 48 | 11 | 59 |
| 2020 Dezembro | 29 | 9 | 38 |
| 2020 Novembro | 33 | 11 | 44 |
| 2020 Outubro | 16 | 14 | 30 |
| 2020 Setembro | 44 | 8 | 52 |
| 2020 Agosto | 11 | 7 | 18 |
| 2020 Julho | 32 | 14 | 46 |
| 2020 Junho | 42 | 13 | 55 |
| 2020 Maio | 26 | 5 | 31 |
| 2020 Abril | 33 | 24 | 57 |
| 2020 Maro | 22 | 9 | 31 |
| 2020 Fevereiro | 55 | 23 | 78 |
| 2020 Janeiro | 18 | 4 | 22 |
| 2019 Dezembro | 25 | 12 | 37 |
| 2019 Novembro | 21 | 7 | 28 |
| 2019 Outubro | 31 | 4 | 35 |
| 2019 Setembro | 11 | 6 | 17 |
| 2019 Agosto | 37 | 11 | 48 |
| 2019 Julho | 32 | 9 | 41 |
| 2019 Junho | 22 | 13 | 35 |
| 2019 Maio | 41 | 15 | 56 |
| 2019 Abril | 21 | 15 | 36 |
| 2019 Maro | 31 | 11 | 42 |
| 2019 Fevereiro | 40 | 8 | 48 |
| 2019 Janeiro | 16 | 9 | 25 |
| 2018 Dezembro | 31 | 12 | 43 |
| 2018 Novembro | 50 | 11 | 61 |
| 2018 Outubro | 84 | 14 | 98 |
| 2018 Setembro | 50 | 13 | 63 |
| 2018 Agosto | 24 | 10 | 34 |
| 2018 Julho | 19 | 5 | 24 |
| 2018 Junho | 42 | 9 | 51 |
| 2018 Maio | 51 | 8 | 59 |
| 2018 Abril | 51 | 8 | 59 |
| 2018 Maro | 87 | 12 | 99 |
| 2018 Fevereiro | 40 | 4 | 44 |
| 2018 Janeiro | 57 | 8 | 65 |
| 2017 Dezembro | 77 | 8 | 85 |
| 2017 Novembro | 43 | 8 | 51 |
| 2017 Outubro | 30 | 11 | 41 |
| 2017 Setembro | 27 | 13 | 40 |
| 2017 Agosto | 35 | 10 | 45 |
| 2017 Julho | 26 | 10 | 36 |
| 2017 Junho | 26 | 9 | 35 |
| 2017 Maio | 44 | 13 | 57 |
| 2017 Abril | 28 | 4 | 32 |
| 2017 Maro | 37 | 3 | 40 |
| 2017 Fevereiro | 50 | 20 | 70 |
| 2017 Janeiro | 68 | 32 | 100 |
| 2016 Dezembro | 5 | 14 | 19 |
Mostrar tudo
