Fast Discharge After Acute Myocardial Infarction Discharge MI

Inclusion Criteria:

• Uncomplicated acute myocardial infarction (NSTEMI and STEMI) diagnosed according tothe 2023 acute coronary syndrome guidelines of the ESC

• Age ≥ 18 years at time of consent

• Invasive management strategy and in case of PCI successful intervention of theculprit lesion defined by post-interventional TIMI 3 flow

• Absence of 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/occlusionor emboli)

• Ability to understand and willingness to sign and date written informed consent

Exclusion Criteria:

• Myocardial infarction complicated by cardiac arrest (out-of-hospital cardiacarrest/in-hospital cardiac arrest)

• Malignant arrhythmias including sustained ventricular arrhythmias and persistentbradycardia (< 50 beats per minute due to sinus node or atrioventricular conductionsystem abnormalities, second- /third-degree atrioventricular block) after PCI

• Ongoing hemodynamic instability (systolic blood pressure <90 mmHg, elevated lactateconcentrations, need for inotropes or vasopressors)

• Ongoing respiratory instability defined by Killip class >I (rales, pulmonary edema)

• Ongoing quantitative disorders of consciousness (somnolence, sopor, coma)

• Pregnancy

• Immobility/limited mobility or social circumstances that prevent fast dischargeassessed by an interprofessional care team