Fast Discharge After Acute Myocardial Infarction Discharge MI

Exclusion Criteria

• •Myocardial infarction complicated by cardiac arrest (out-of-hospital cardiac arrest/in-hospital cardiac arrest)
• •PCI-related complications (coronary perforation, side branch closure, inability to deliver stent/balloon, aortic dissection, allergic reaction grade ≥2, stroke/thromboembolism, access site complications including pseudoaneurysm, arteriovenous fistula, retroperitoneal hemorrhage and arterial dissection/occlusion or emboli)
• •Malignant arrhythmias including sustained ventricular arrhythmias and persistent bradycardia (\< 50 beats per minute due to sinus node or atrioventricular conduction system abnormalities, second- /third-degree atrioventricular block) after PCI
• •Ongoing hemodynamic instability (systolic blood pressure \<90 mmHg, elevated lactate concentrations, need for inotropes or vasopressors)
• •Ongoing respiratory instability defined by Killip class \>I (rales, pulmonary edema)
• •Ongoing quantitative disorders of consciousness (somnolence, sopor, coma)
• •Acute kidney injury defined by Kidney Disease Improving Global Outcomes (KDIGO) stages 2 and 3
• •Pregnancy
• •Untreated critical non-culprit lesions requiring revascularization during index hospitalization not allowing fast discharge
• •Immobility/limited mobility or social circumstances that prevent fast discharge assessed by an interprofessional care team