Outcomesa in patients with ST-elevation myocardial infarction receiving timely, delayed, and late pPCI compared to P-I strategy, Norway 2013–2019
. | Timely pPCI (≤120 min) . | Delayed pPCI (121–180 min) . | Late pPCI (>180 min) . | P-I strategy . | ||||||
---|---|---|---|---|---|---|---|---|---|---|
n = 7238 . | n = 1537 . | n = 1012 . | n = 2338 . | |||||||
n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | |
Death | 742 (10.3%) | 1.3 (1.1–1.5) | 1.1 (1.0–1.3) | 224 (14.6%) | 1.9 (1.5–2.3) | 1.3 (1.0–1.5) | 157 (15.5%) | 2.1 (1.6–2.5) | 1.4 (1.1–1.7) | 205 (8.9%) |
Composite endpoint (death, non-fatal stroke, and non-fatal MI) | 1015 (14.0%) | 1.1 (1.0–1.2) | 1.0 (0.9–1.2) | 290 (18.9%) | 1.5 (1.3–1.8) | 1.2 (1.0–1.4) | 206 (20.4%) | 1.7 (1.4–2.0) | 1.3 (1.1–1.5) | 320 (13.7%) |
. | Timely pPCI (≤120 min) . | Delayed pPCI (121–180 min) . | Late pPCI (>180 min) . | P-I strategy . | ||||||
---|---|---|---|---|---|---|---|---|---|---|
n = 7238 . | n = 1537 . | n = 1012 . | n = 2338 . | |||||||
n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | |
Death | 742 (10.3%) | 1.3 (1.1–1.5) | 1.1 (1.0–1.3) | 224 (14.6%) | 1.9 (1.5–2.3) | 1.3 (1.0–1.5) | 157 (15.5%) | 2.1 (1.6–2.5) | 1.4 (1.1–1.7) | 205 (8.9%) |
Composite endpoint (death, non-fatal stroke, and non-fatal MI) | 1015 (14.0%) | 1.1 (1.0–1.2) | 1.0 (0.9–1.2) | 290 (18.9%) | 1.5 (1.3–1.8) | 1.2 (1.0–1.4) | 206 (20.4%) | 1.7 (1.4–2.0) | 1.3 (1.1–1.5) | 320 (13.7%) |
Follow-up to 31 December 2019. Death: median follow-up 944 days (25th–75th percentile 396–1583). Composite endpoint: median follow-up 913 days (25th–75th percentile 335–1522).
Reference: Pharmaco-invasive (P-I) strategy.
Gender, age, smoking, previous stroke, previous AMI, history of heart failure, diabetes, antihypertensive treatment, renal failure (eGFR < 60 mL/min), and out-of-hospital cardiac arrest.
P-I strategy, pharmaco-invasive strategy; pPCI, primary percutaneous coronary intervention.
Outcomesa in patients with ST-elevation myocardial infarction receiving timely, delayed, and late pPCI compared to P-I strategy, Norway 2013–2019
. | Timely pPCI (≤120 min) . | Delayed pPCI (121–180 min) . | Late pPCI (>180 min) . | P-I strategy . | ||||||
---|---|---|---|---|---|---|---|---|---|---|
n = 7238 . | n = 1537 . | n = 1012 . | n = 2338 . | |||||||
n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | |
Death | 742 (10.3%) | 1.3 (1.1–1.5) | 1.1 (1.0–1.3) | 224 (14.6%) | 1.9 (1.5–2.3) | 1.3 (1.0–1.5) | 157 (15.5%) | 2.1 (1.6–2.5) | 1.4 (1.1–1.7) | 205 (8.9%) |
Composite endpoint (death, non-fatal stroke, and non-fatal MI) | 1015 (14.0%) | 1.1 (1.0–1.2) | 1.0 (0.9–1.2) | 290 (18.9%) | 1.5 (1.3–1.8) | 1.2 (1.0–1.4) | 206 (20.4%) | 1.7 (1.4–2.0) | 1.3 (1.1–1.5) | 320 (13.7%) |
. | Timely pPCI (≤120 min) . | Delayed pPCI (121–180 min) . | Late pPCI (>180 min) . | P-I strategy . | ||||||
---|---|---|---|---|---|---|---|---|---|---|
n = 7238 . | n = 1537 . | n = 1012 . | n = 2338 . | |||||||
n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | Hazard ratio (95% CI)b . | Adjusted HR (95% CI)b,c . | n . | |
Death | 742 (10.3%) | 1.3 (1.1–1.5) | 1.1 (1.0–1.3) | 224 (14.6%) | 1.9 (1.5–2.3) | 1.3 (1.0–1.5) | 157 (15.5%) | 2.1 (1.6–2.5) | 1.4 (1.1–1.7) | 205 (8.9%) |
Composite endpoint (death, non-fatal stroke, and non-fatal MI) | 1015 (14.0%) | 1.1 (1.0–1.2) | 1.0 (0.9–1.2) | 290 (18.9%) | 1.5 (1.3–1.8) | 1.2 (1.0–1.4) | 206 (20.4%) | 1.7 (1.4–2.0) | 1.3 (1.1–1.5) | 320 (13.7%) |
Follow-up to 31 December 2019. Death: median follow-up 944 days (25th–75th percentile 396–1583). Composite endpoint: median follow-up 913 days (25th–75th percentile 335–1522).
Reference: Pharmaco-invasive (P-I) strategy.
Gender, age, smoking, previous stroke, previous AMI, history of heart failure, diabetes, antihypertensive treatment, renal failure (eGFR < 60 mL/min), and out-of-hospital cardiac arrest.
P-I strategy, pharmaco-invasive strategy; pPCI, primary percutaneous coronary intervention.
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