Early Experience of Busan-Ulsan Regional Cardiocerebrovascular Center Project in the Treatment of ST Elevation Myocardial Infarction.
10.3904/kjm.2013.85.3.275
- Author:
Dong Hyun LEE
1
;
Jeong Min SEO
;
Jae Hyuk CHOI
;
Young Rak CHO
;
Kyungil PARK
;
Tae Ho PARK
;
Moo Hyun KIM
;
Young Dae KIM
;
Su Youn MAENG
;
Doo Yeong KIM
;
Eun Yeong KO
;
Jong Sung PARK
Author Information
1. Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. thinkmed@dau.ac.kr
- Publication Type:Original Article
- Keywords:
Myocardial infarction;
Percutaneous coronary intervention
- MeSH:
Coronary Vessels;
Humans;
Male;
Medical Records;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Retrospective Studies;
Survival Rate
- From:Korean Journal of Medicine
2013;85(3):275-284
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The purpose of this study was to compare changes in primary percutaneous coronary artery intervention (PCI) outcomes after starting the government-directed Busan-Ulsan Regional Cardiocerebrovascular Center Project. METHODS: Patients with ST segment elevation myocardial infarction (STEMI) who visited the Busan-Ulsan Regional Cardiocerebrovascular Center from 1 June 2009 to 30 May 2011 were selected. Their medical records were retrospectively reviewed. Clinical and survival outcomes before and after starting the project were compared. RESULTS: A total of 122 patients (mean age, 63 +/- 13 years; male, 74%) with STEMI were selected for analysis. There were no significant differences in patients' baseline characteristics. After starting the Busan-Ulsan Regional Cardiocerebrovascular Center Project, the door-to-balloon time decreased from 72 +/- 30 to 59 +/- 22 minutes (p = 0.011). The door-to-balloon time when the PCI team did not stay in the hospital also decreased from 80 +/- 30 to 62 +/- 12 minutes (p = 0.005). However, there was no significant change in the total ischemic time (339 +/- 293 vs. 304 +/- 287 minutes, p = 0.514), survival discharge rate (94% vs. 93%, p = 1.000), or 1-year survival rate (89% vs. 91%, p = 0.996). CONCLUSIONS: After starting the government-directed Busan-Ulsan Regional Cardiocerebrovascular Center Project, the door-to-balloon time was significantly reduced. However, the total ischemic time and short-term survival remained unchanged.
