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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...

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Related Experiment Video

Updated: Jun 18, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Same-day-discharge ad hoc percutaneous coronary intervention: initial single-centre experience.

Xavier Perret1, Cyrille Bergerot, Gilles Rioufol

  • 1Interventional cardiology department, hôpital cardiologique, hospices civils de Lyon, avenue Lépine, Bron cedex, France.

Archives of Cardiovascular Diseases
|December 1, 2009
PubMed
Summary

Same-day discharge after percutaneous coronary intervention (PCI) is safe and effective for selected patients. This strategy, utilizing an intention-to-treat approach, resulted in high patient satisfaction and low anxiety without unexpected complications.

Related Experiment Videos

Last Updated: Jun 18, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Advancements in medical technology and equipment are enabling same-day discharge for percutaneous coronary intervention (PCI) procedures.
  • This shift aims to improve patient flow and reduce healthcare costs associated with overnight hospital stays.

Purpose of the Study:

  • To evaluate the initial experience and safety of an intention-to-treat, same-day-discharge strategy for ad hoc PCI.
  • To assess the feasibility of a preferentially radial approach in this setting.

Main Methods:

  • Retrospective analysis of the first 102 same-day-discharge PCIs performed.
  • Patient selection criteria included stable or stabilized coronary patients, absence of cardiac insufficiency, normal Allen test, and proximity to the center.
  • Outcomes assessed included major adverse cardiovascular events, stroke, major hemorrhage, unscheduled consultations within 30 days, and patient satisfaction/anxiety via questionnaire.

Main Results:

  • Of 102 PCIs, 5.9% required crossover to overnight admission.
  • The 30-day event rate was 3.9%, with events occurring either within 6 hours or after 24 hours, suggesting no benefit from traditional 24-hour admission.
  • Patient satisfaction was high (8.9/10), and anxiety related to same-day discharge was low (1.7/10).

Conclusions:

  • A same-day-discharge ad hoc PCI strategy is reliable and safe for carefully selected patients.
  • The approach does not lead to unexpected complications despite reduced medical monitoring duration.
  • This strategy offers a viable option for efficient patient management in interventional cardiology.