The safety and outcome of patients with acute myocardial infarction transferred for primary angioplasty
10.3321/j.issn:0253-3758.2008.06.002
- VernacularTitle:急性心肌梗死经转运行直接冠状动脉介入治疗的安全性及临床疗效
- Author:
Li-Kun MA
1
;
Hua YU
;
Ke-Fu FENG
;
You-Wei SHI
;
Xiao-Hong ZHANG
;
Xiao-Hua DAI
;
Chao GAO
;
Bao-Long TANG
;
Zhi-Xiang CHENG
;
Hong-Wu CHEN
;
Ming-Wei XIA
;
Xiao-Ping HAN
;
Qi YE
;
Ji YAN
Author Information
1. 安徽省立医院
- Keywords:
Myocardial infarction;
Angioplasty,transluminal,pcrcutaneous coronary;
Treatment outcome
- From:
Chinese Journal of Cardiology
2008;36(6):485-488
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and outcome of patients with acute myocardial infarction (AMI) transferred for primary percutanous coronary intervention (PCI).Methods Data from patients with ST elevation AMI urgently transferred from first admitted hospitals to our catll-lab to receive primary PCI were analyzed.According to time intervals from symptom onset to transfer.the patients were divided into early transfer(<6 h,n=26),delayed transfer (6-24h,n=39) and late transfer (24 h to 1 week,n=18) group.The major cardiac events during transfer periods and one month after PCI were obtained and echocardiogram and left ventficular systolic functions were compared among groups.Results There was no serious cardiac event during transfer period and all 83 patients received primary PCI with a mean transfer-to-balloon time about 180 minutes.Success rate of PCI was 92.3% in early transfer group.89.7% in delayed transfer group,and 94.4% in late transfer group (P>0.05).At one month follow-up after PCI.0.10.3%and 16.7% of patients developed heart failure in early,delayed transfer and late transfer group respectively (P>0.05 vs.early),the LVEF of early transfer group (53.2%±9.7%) was also significantly higher than delayed transfer group (48.6%±8.2%,P<0.05) and late transfer group (43.1%±10.3%,P<0.01).Conclusions Transfer patients with AMI for primary PCI iS safe in the observed time intervals during acute phase.Early transferred patients are associated with better outcome at 1 month post PCI compared to delayed and late transferred AMI patients.
