Do patients with ST segment elevation myocardial infarction in Killip class I need intensive cardiac care after a successful primary percutaneous intervention?

Abstract

Patients with STEMI treated with PPCI who remained in Killip class I after the procedure and receive optimal pharmacological treatment have an excellent prognosis. All of them can probably be admitted safely to a step-down unit. Wide application of this management strategy may result in substantial cost savings.

Association of intensive care unit admission and mortality in patients with acute myocardial infarction

“…2). As reported in the previous study, this suggests that there may be no additional benefit from intensive care for stable patients [37]. There seems to be a clear trend in favor of ICU as the age increased (Fig.…”

Time, Time, Time, see what's become of me; While I looked around for my possibilities; I was so hard to please. (From Simon and Garfunkel's Hazy Shade of Winter)

“…Another very interesting issue with respect to the subacute management of patients after successful revascularization for AMI presented by Viana-Tejedora et al (7). It is clear to all of us dealing with the acute setting that a patient with AMI after successful and uneventful angioplasty at a short time window, requires less intensive care as compared to a patient with unsuccessful revascularization.…”

“…What is the appropriate length of hospital stay in the coronary care unit (CCU) for patients with ST elevation AMI. Viana-Tejedora et al (7) have shown among patients with successful primary PCI that none of the patients had any adverse event that could not be resolved in a step-down unit with a very high short and intermediate survival rates. While the median of CCU stay was 3 days for these patients, would a shorter one be associated with similar outcome?…”