SINGLE CENTRE REVIEW OF OUTCOMES WITH ALCOHOL SEPTAL ABLATION FOR DRUG-REFRACTORY HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY

chi-squared test. RESULTS: The rates of EKG within 10 minutes of first medical contact and DTNT less than 30 minutes showed significant improvement between the two time periods. The rate of cardiac catheterization, P-PCI and delayed PCI increased significantly between the two time periods. One year cardiac readmission and one year mortality were significantly lower during the post guideline period. Patients managed with PPCI had a significantly lower one year mortality than STEMI patients treated with fibrinolytic therapy. CONCLUSION: Although there have been significant improvements in STEMI management and outcomes in Nova Scotia, there are still considerable room for improvement. Further analysis is needed to understand more clearly the contribution of provincial guideline implementation to the improvements in STEMI treatment in Nova Scotia and the recent drop in readmissions and mortality. More detailed analysis of P-PCI and fibrinolytic treated patients is planned as well as comparison of treatment and outcome in other Canadian jurisdictions.