Survey on the hospitalization treatment status of acute myocardial infarction patients in 13 hospitals of western medicine and traditional Chinese medicine in Beijing
10.3760/cma.j.issn.0253-3758.2010.04.008
- VernacularTitle:北京地区13家中、西医医院急性心肌梗死患者住院治疗状况调查
- Author:
Hong-Xu LIU
1
;
Wei GAO
;
Dong ZHAO
;
Ju-Ju SHANG
;
Jia-Yi SUN
Author Information
1. 首都医科大学附属北京中医医院
- Keywords:
Myocardial infarction;
Drug therapy;
Myocardial reperfusion;
Treatment outcome
- From:
Chinese Journal of Cardiology
2010;38(4):306-310
- CountryChina
- Language:Chinese
-
Abstract:
Objective To survey the treatment stares and clinical features of hospitalized patients with acute myocardial infarction (AMI) of 13 hospitals in Beijing in 2005.Methods Uniform questionnaires were used to register AMI patients hospitalized from January 1 to December 31,2005 in the 13 hospitals including traditional Chinese medicine (TCM) hospitals (n = 6) and western medicine hospitals (WM,n=7) from Beijing.A total of 1663 AMI patients were registered (1366 cases in WM hospitals and 297 cases in TCM hospitals).An Access database was established and patient informations were inputed,the clinical features and treatment status of hospitalized AMI patients were analyzed.Results The mean age was (63.9±12.8) years old[(62.8±12.8) years for WM Hospitals and(69.1±11.8) years for TCM hospitals,P＜0.05],male to female ratio was 2.4 :1 (2.7:1 for WM hospitals and 1.6:1 for TCM hospitals,P＜0.05).The median time to hospital was 14 hours in TCM hospitals and 11 hours in WM hospitals (P＞0.05).Incidences of history of cerebrovascular disease,high blood pressure,diabetes,hyperlipidemia and complications such as in-patient arrhythmia,cardiac insufficiency,cardiogenic shock were significantly higher in TCM hospitals than in WM hospitals.The total mortality of 1663 AMI cases was 8.2% (15.8% in TCM hospitals vs.6.6% in WM hospitals,P＜0.01).The reperfusion rate including emergency PCI and thrombolytic therapy rate was 31.3% in 13 hospitals (33.3% in WM hospitals vs.21.9% in TCM hospitals,P ＜0.05).Percent of guideline recommend drug use for AMI was as follows:aspirin 93.6%,ACEI and ARB 85.1%,β-blocker 78.7%,low molecular weight heparin 85.4%,statins 74.7%.Conclusions Reperfusion therapy and guildline recommended drugs were widely used although there was a need for further improvement.The hospitalized mortality showesd a downward trend compared with results from five years ago,patients in TCM hospitals had an independent clinical features.
