Influence of Different Transport Modes on the Efficacy of Direct Percutaneous Coronary Intervention in Acute ;ST-elevation Myocardial Infarction
- VernacularTitle:不同转运模式对 ST 段抬高型急性心肌梗死直接 PCI 疗效的影响
- Author:
Jun SHEN
1
;
Huigen JIN
;
Zongjun LIU
;
Shaojun OU
;
Wei YANG
;
Zhihua WANG
;
Yingmei LI
;
Junqing GAO
;
Wenquan ZHANG
;
Weiqing WANG
Author Information
1. 上海市普陀区中心医院心内科
- Keywords:
Myocardial infarction;
Emergency medical services;
Patient transport;
Myocardial reperfusion
- From:
Chinese Journal of Clinical Medicine
2016;23(1):25-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influence of different transport modes on the efficacy of direct percutaneous coronary intervention (PCI) in patients with acute ST‐elevation myocardial infarction (STEMI) .Methods :A total of 268 STEMI patients undergoing emergency PCI during Jan 2013 and Dec 2014 were selected .Among them ,there were 139 patients whose single‐time 12‐lead ECG results were scanned and sent to specified cardiologists ’ cellphones by ambulances or community doctors via wechat app (chest pain center mode exploration group ) and 129 patients who went to hospital by themselves (common treatment group) .The door to balloon dilatation time (D‐to‐B) ,the probability of D‐to‐B shorter than 90 minutes (target rate ) , the mortality during hospitalization , the incidence of heart failure , the average hospitalization days and hospitalization cost were compared between the two groups .Results:The results of comparison between the chest pain center mode exploration group and the common treatment group were shown as below :the D‐to‐B time ([86 .4 ± 4 .5] min vs .[97 .4 ± 10 .3] min ,P<0 .01) ,hospital during mortality (2 .9% vs9 .3% ,P<0 .05) ,the incidence of heart failure (4 .3% vs .11 .6% ,P<0 .05) ,the average hospitalization days ([8 .7 ± 3 .2] d vs .[10 .9 ± 4 .5] d ,P<0 .05] and hospitalization costs ([50 347 ± 19 310] yuan vs .[58 102 ± 41 178] yuan ,P<0 .05) .And all the differences were statistically significant .Conclusions :Regional chest pain center mode can shorten the reperfusion time and reduce the short‐term mortality for STEMI patients .
