Publications by authors named "Marta Catarina Bernardo"
Article Synopsis
- Current guidelines suggest high-risk patients with non-ST-elevation acute coronary syndrome (NSTE-ACS) should undergo early coronary angiography (ICA) within 24 hours, but studies show it may not significantly lower death or heart attack rates compared to delayed ICA.
- The study aimed to find the best timing for ICA by analyzing patient data from a national registry, dividing them into three timing groups: early (within 24 hours), intermediate (24-48 hours), and delayed (48-72 hours).
- Results indicated that early ICA led to fewer cases of acute heart failure and shorter hospital stays, but did not significantly affect overall mortality or the rate of hospital readmissions for heart issues after one year.
Background: The shock index (SI), reflecting heart rate (HR) to SBP ratio, is established for predicting adverse outcomes in acute coronary syndrome (ACS) patients. Exploring the age shock index (ASI), obtained by multiplying SI with age, could offer further insights into ACS prognosis.
Objectives: Assess ASI's effectiveness in predicting in-hospital death in individuals with ACS.