The impact of admission modes on the reperfusion time and short-term prognosis of patients with acute ST-segment elevation myocardial infarction
10.3969/j.issn.1004-8812.2025.08.004
- VernacularTitle:不同来院方式对急性ST段抬高型心肌梗死患者再灌注时间及短期预后的影响分析
- Author:
Ji-yi LIN
1
;
Wei-mei OU
;
Wei-wei HUANG
;
Yan WANG
;
Shao-qing LIN
;
Yuan CHEN
;
Bin WANG
Author Information
1. 厦门大学附属心血管病医院急诊科,福建 厦门 361000;厦门市胸痛质量控制中心,福建 厦门 361000
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Admission modes;
Reperfusion time;
Short-term prognosis;
Chest Pain Center
- From:
Chinese Journal of Interventional Cardiology
2025;33(8):447-453
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of admission modes on the reperfusion time and short-term prognosis of patients with acute ST-segment elevation myocardial infarction(STEMI).Methods 497 patients who visited the Chest Pain Center of Xiamen Cardiovascular Hospital of Xiamen University from January 2023 to November 2024 and were diagnosed with STEMI were included.All patients received direct percutaneous coronary intervention.According to admission modes,the patients were divided into the self-referral group(122 cases),emergency medical service group(EMS)(51 cases)and transfer PCI group(324 cases).The basic characteristics,reperfusion time,complications between group were compared.Results The age of the patients in this study was(58.64±13.62)years old,and there were 423 male cases(85.11%).Compared with the self-referral group and the EMS group,the time of door-wire in transfer PCI group was shorter[35(29,45)min vs.43(35,53)min vs.43(33,48)min,P＜0.001],but the time of first medical contact-wire was longer[123(80,192)min vs.43(35,52)min vs.57(51,76)min,P＜0.001].Compared with the self-referral group and the transfer PCI group,the time of symptom-to-first medical contact and the time of symptom-to-wire in EMS group were both shorter,which were[55(32,136)min vs.185(116,360)min vs.120(60,236)min,P＜0.001]and[136(101,188)min vs.228(169,413)min vs.282(190,400)min,P＜0.001].The incidence of infections in the transfer PCI group was lower than that in the self-referral group(12.65%vs.22.95%,P＜0.05).Conclusions To comprehensively enhance the treatment effect,it is necessary to prioritize the promotion and continuous optimization of the response process of EMS,simultaneously strengthen the standardized collaboration of referral,and enhance the identification ability of STEMI through public education to reduce the delay of self-referral patients..
