Outcomes of Percutaneous Coronary Intervention in Hospitalized Patients with Acute Coronary Syndrome and Heart Failure: Insights from the CCC-ACS Registry Observational Study - Scorecard - MDSpire
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Outcomes of Percutaneous Coronary Intervention in Hospitalized Patients with Acute Coronary Syndrome and Heart Failure: Insights from the CCC-ACS Registry Observational Study
Clinical Scorecard: Outcomes of Percutaneous Coronary Intervention in Hospitalized Patients with Acute Coronary Syndrome and Heart Failure: Insights from the CCC-ACS Registry Observational Study
At a Glance
Category
Detail
Condition
Acute Coronary Syndrome with Heart Failure
Key Mechanisms
Early revascularization improves myocardial blood supply, reverses myocardial stunning, and enhances contractile function.
Target Population
Patients with Acute Coronary Syndrome and Heart Failure, particularly those with Killip class ≥ II.
Care Setting
Tertiary and secondary hospitals in China.
Key Highlights
PCI is the primary therapeutic strategy for coronary revascularization in ACS.
Patients with ACS and HF are classified as extremely high-risk.
The CCC-ACS registry included 4,694 ACS patients with HF for analysis.
Guideline-Based Recommendations
Diagnosis
ACS defined per Chinese Society of Cardiology guidelines.
Heart failure defined per European Society of Cardiology guidelines.
Management
Primary PCI recommended for STEMI within 6 hours of symptom onset.
NSTE-ACS patients assessed based on risk stratification.
Monitoring & Follow-up
LVEF measured by echocardiography within 24 hours of admission.
Risks
Patients with ACS-HF have complex conditions and require urgent evaluation.
Patient & Prescribing Data
Patients with ACS and HF admitted within 24 hours after first medical contact.
Optimal medical therapy includes β-blockers, ACEI/ARB, and ARAs for patients not undergoing PCI.
Clinical Best Practices
Utilize dual antiplatelet therapy (DAPT) during hospitalization.
Monitor for major adverse cardiovascular events (MACCE) during hospitalization.
