Verification of the Safety of Early Discharge in Patients After Acute ST-segment Myocardial Infarction

The aim of the study is to prove

• that early discharge (within 72 hours) in selected group of patients with low risk of follow-up complications after myocardial infarction with elevations of ST-segment, treated with primary percutaneous coronary intervention, is feasible and safe
• that early discharge is comparable with the group of patients, discharged in a standard way accordingly with present practice and physician´s decision (usually 4th-7th day), thus it is not associated with higher incidence of complications in 90th day after myocardial infarction

Inclusion criteria

• Signed informed consent
• Age ≥18 do ≤ 75 years
• Acute myocardial infarction with ST-segment elevation, treated with successful percutaneous coronary intervention within 12 hours from the onset of symptoms
• Left ventricle ejection fraction ≥ 45% by echocardiography
• Single- or two-vessel disease (stenosis of major epicardial artery ≥ 70%)
• Haemodynamic and rhythmic stability (Killip class I, no arrythmia requiring treatment occurring > 2 hours after PCI)
• Assumed good cooperation and social background

Exclusion criteria

• Symptoms of residual ischemia
• Significant comorbidities or abnormalities in paraclinical tests, requiring additional evaluation within continuing hospitalization
• Contraindication of dual antiplatelet therapy or need for anticoagulation therapy
• Hihg risk of bleeding complications
• Participation in other clinical study