The effect of prehospital 12-lead electrocardiogram and transtelephonic notifiication on door-to-balloon time in patients with ST-segment elevation myocardial infarction
10.3760/cma.j.issn.0254-9026.2009.06.004
- VernacularTitle:入院前电话通知对中老年ST段抬高心肌梗死患者进急诊室至球囊扩张时间的影响
- Author:
Shujuan CHENG
;
Hongbing YAN
;
Jian WANG
;
Hanjun ZHAO
;
Shiying LI
;
Qingxiang LI
;
Bin ZHENG
;
Li SONG
;
Xin WANG
;
Yunpeng CHI
;
Zhen WU
;
Qin MA
;
Fangxing XU
- Publication Type:Journal Article
- Keywords:
Electrocardiogram;
Myocardial infarction;
Coronory angioplasty
- From:
Chinese Journal of Geriatrics
2009;28(6):453-456
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of prehospital 12-lead electrocardiogram (ECG) and transtelephonic notification on door-to-balloon time in patients with ST-segment elevation myocardial infarction (STEMI). Methods Four hundred and two patients with STEMI who underwent primary PCI from January 2006 to December 2007 in Beijng Anzhen Hospital were analyzed. They were divided into 3 groups: 137 patients without prehospital ECG (group A), 176 patients with prehospital ECG (group B) and 89 patients with prehospital ECG and early transtelephonie notification (group C). Door-to-balloon time and in-hospital mortality were compared among the groups. Results There were no significant differences in age, sex, past medical history and infarcted area among three groups. Compared with group A, patients in group B and group C had much shorter door-to-balloon time (96 minutes and 86 minutes vs. 113 minntes in group A, all P<0. 01). No difference was found in in-hospital mortality among three groups (2. 9% vs. 2.3% vs. 2. 2%, P> 0. 05). Conclusions Prehospital ECG and early transtelephonic notification can significantly shorten door-to-balloon time in patients with STEMI. Coordinated system including prehospital ECG and transtelephonie notification is proved to be feasible and effective.
