Abstract:
Objective To analyze the clinical characteristics and the outcomes of patients with ST segment elevated myocardial infarction (STEMI)undergoing emergency percutaneous coronary intervention (PCI)via green channel in the Chest Pain Center of Wujin Hospital.
Methods The clinical characteristics of 184 patients with STEMI who underwent emergency PCI treatment in our center from May 2017 to April 2019 were analyzed retrospectively. There were 147 males and 37 females. The age ranged from 27 to 95 years (mean 63.08 years). 112 cases more than 60 years old were divided into the elderly subgroup and 72 cases divided into the middle-aged or young subgroup. The clinical characteristics and parameters of operation, such as time of disease, time of D-to-B, number of diseased vessels and major adverse cardiovascular events (MACE) were compared between subgroups.
Results Compared with female, male patients were younger and had lower HDL-C levels. However, the prevalence of smoking, alcohol consumption, the levels of body mass index (BMI), white blood cells (WBC), hemoglobin (HGB), uric acid (UA) and creatinine (Cr)were significantly higher in male group than those in female group. Compared with the young and middle-aged group, the prevalence of male, smoking, and hyperlipidemia were lower in the elderly group, while the prevalence of hypertension was higher (P<0.05). The levels of BMI, DBP, WBC, HGB, PLT and TG in the elderly group were significantly lower than those in the young and middle-aged group. Nevertheless, the HDL-C levels and GRACE score in the elderly group were significantly higher than in the young and middle-aged group (P<0.05). Furthermore, the number of vascular lesions in the elderly group was significantly higher than in the young and middle-aged group (P<0.05). There were no significant differences in major cardiovascular events between groups during hospitalization.
Conclusion Consistently summarizing the plan of emergency PCI treatment and optimizing the green channel in the chest pain center in primary hospitals have the great value of clinical application.
Key words:
primary hospital,
chest pain center,
green channel,
acute myocardial infarction,
percutaneous coronary intervention
Jun Gu, Gaojun Cai. Clinical characteristics of acute myocardial infarction patients undergoing emergency percutaneous coronary intervention: an analysis of 184 cases[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2020, 06(03): 142-147.