Login
Search
Search
0 Dates
2026
2025
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
CPC 2025
CPC 2026
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Impact of coronary fast-track activation on clinical outcomes in STEMI patients
Session:
Sessão de Posters 46 - Síndromes coronárias agudas: vias, atrasos e impacto das recomendações
Speaker:
Ana Rodrigo Costa
Congress:
CPC 2026
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.2 Acute Coronary Syndromes – Epidemiology, Prognosis, Outcome
Session Type:
Posters Eletrónicos
FP Number:
---
Authors:
Ana Rodrigo Costa; Inês Gomes Campos; Mauro Moreira; José Luís Ferraro; Inês Bastos Castro; Carla Almeida; Rui Pontes Dos Santos; Joel Ponte Monteiro; Liliana Reis; Aurora Andrade
Abstract
<p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong><span style="font-size:10.0pt">Background: </span></strong><span style="font-size:10.0pt"><span style="color:black">ST-elevation myocardial infarction (STEMI) is a major cardiovascular emergency that requires urgent triage for immediate reperfusion therapy, as delays in reperfusion are linked to increased morbidity and mortality. Timely activation of coronary fast-track protocol is critical to minimize ischemic time and improve clinical outcomes</span></span><span style="font-size:10.0pt"><span style="color:black">. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong><span style="font-size:10.0pt">Aim: </span></strong><span style="font-size:10.0pt"><span style="color:black">To assess effectiveness of coronary fast-track protocol to door-to-catheterization time and outcomes in STEMI patients.<strong> </strong></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong><span style="font-size:10.0pt">Methods: </span></strong><span style="font-size:10.0pt"><span style="color:black">Observational, retrospective, single-center study in a tertiary hospital that included all patients admitted with STEMI between September 2023 and September 2025. Activation of coronary fast-track protocol, treatment times, length of stay and in-hospital mortality were evaluated. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong><span style="font-size:10.0pt">Results: </span></strong><span style="font-size:10.0pt"><span style="color:black">A total of 247 patients were included, with 77.7% male individuals, with a median of age of 62 years. Of these, 17 patients presenting with cardiac arrest on admission - triaged directly to the emergency room - were excluded from the statistical analysis. Coronary fast-track was activated in 76.5% of patients presenting with STEMI. It was associated with significantly shorter door-to-catheterization time (median 54 vs. 186 min; p<0.001) and lower total ischemic time (median 244 vs. 357.5 min; p<0.001). Patients without fast-track activation tended to have longer hospitalizations (median 5 vs. 4 days; p=0.085). Regarding left and right ventricular systolic function and left ventricular diastolic function, there were no significant differences between both groups (p=0.257, p=0,275, p=0,069 respectively). In-hospital mortality was nearly four times higher in patients without fast-track to reperfusion therapy (4.3% vs. 15.6%; p=0.006). Among the patients who were not triaged through the coronary fast-track (n = 45), 57.8% presented with chest pain as the main symptom, which was initially interpreted in triage as not suggestive of acute coronary syndrome.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:12pt"><span style="font-family:Aptos,sans-serif"><strong><span style="font-size:10.0pt">Conclusion: </span></strong><span style="font-size:10.0pt">Activation of coronary fast-track protocol was associated with shorter reperfusion times and significantly lower in-hospital mortality rates among STEMI patients. These findings highlight the importance of systematic triage and objective assessment of chest pain, which should not be subjectively interpreted, to ensure early recognition of STEMI. In addition to improving clinical outcomes, optimized coronary fast-track activation may also reduce hospital length of stay and complications, translating into meaningful organizational and financial benefits for healthcare systems. </span></span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site