54 changing incidence and procedure complexity of coronary artery perforations. - A 10-year dataset

Hamza Umar, Ashwin Roy, Mohammed Oshieba, Peter Ludman, Jonathan Townend, M. Adnan Nadir, SN Doshi, Sudhakar George, Alex Zaphiriou, Sohail Q Khan
2021 Acute coronary syndromes & Interventional cardiology   unpublished
significantly higher in the clinically indicated CXR group (76.9%) rather than the routine CXR group (2.7%) (p = <0.001). The therapeutic efficacy was 53.8% for clinically indicated CXRs, whereas the routine CXRs had a therapeutic efficacy of 1.3% (p = <0.001). There was a significant association between CXR findings and whether the CXR requested was routine or not (X2 (1) = 70.07, p <0.001) and also management changes (X2 (1) = 45.43, p <0.001). Conclusion Routine CXR in patient admitted with
more » ... ient admitted with STEMI are often unnecessary and may add very little clinical value. On the other hand, selective post-procedural CXRs have a significantly higher diagnostic and therapeutic yield. Our study questions the rationale behind routine CXRs in the care of patients with STEMIs.
doi:10.1136/heartjnl-2021-bcs.54 fatcat:77qsqoqeafaolhpipxwkd5vngq