Journal article
Pre-hospital heparin use for ST-elevation myocardial infarction is safe and improves angiographic outcomes
JE Bloom, E Andrew, Z Nehme, DT Dinh, H Fernando, WY Shi, P Vriesendorp, S Nanayakarra, LP Dawson, A Brennan, S Noaman, J Layland, J William, A Al-Fiadh, M Brooks, M Freeman, A Hutchinson, D McGaw, W Van Gaal, W Willson Show all
European Heart Journal Acute Cardiovascular Care | Published : 2021
Abstract
Aims: This study aims to evaluate if pre-hospital heparin administration by paramedics is safe and improves clinical outcomes. Methods and results: Using the multicentre Victorian Cardiac Outcomes Registry, linked with state-wide ambulance records, we identified consecutive patients undergoing primary percutaneous coronary intervention for STEMI between January 2014 and December 2018. Information on thrombolysis in myocardial infarction (TIMI) flow at angiography was available in a subset of cases. Patients receiving pre-hospital heparin were compared to those who did not receive heparin. Findings at coronary angiography and 30-day clinical outcomes were compared between groups. Propensity-s..
View full abstractGrants
Awarded by National Health and Medical Research Council (NHMRC) Post Graduate Scholarship
Awarded by National Heart Foundation (NHF) Post Graduate Scholarship
Awarded by NHMRC
Awarded by National Health and Medical Research Council of Australia
Funding Acknowledgements
The Victorian Cardiac Outcomes Registry is currently funded by the Department of Health and Human Services, Victoria, with in-kind funding from Monash University. D.S. is supported by National Heart Foundation Fellowship. J.E.B. is supported by a National Health and Medical Research Council (NHMRC) Post Graduate Scholarship (number 2003944) and a National Heart Foundation (NHF) Post Graduate Scholarship (number 104621). Z.N. is supported by a NHMRC Early Career Fellowship. S.J.D.'s work is supported by a NHMRC grant (number 1111170).