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Prehospital delay time and mortality in patients with acute myocardial infarction / 中华心血管病杂志
Chinese Journal of Cardiology ; (12): 40-43, 2007.
Artigo em Chinês | WPRIM | ID: wpr-304972
ABSTRACT
<p><b>OBJECTIVE</b>To determine the relationship between prehospital delay time (PDT) and other associated factors on mortality in patients with acute myocardial infarction.</p><p><b>METHODS</b>We retrospectively analyzed factors associated with mortality in 580 patients with acute myocardial infarction presented to the Emergency Ward and Emergency Intensive Care Unit (EICU) of Beijing Anzhen Hospital from March 2004 to March 2006 (428 males, average age 60.7 +/- 12.9 years). The patients were divided to 3 groups according various therapies thrombolysis, PCI/CABG or symptomatic medication groups.</p><p><b>RESULTS</b>The median PDT was 130 min. Thrombolysis, PCI/CABG and medical therapy were applied in 122 (21.0%), 266 (45.9%) and 192 (33.1%) patients respectively. PDT was significantly longer in patients receiving medical therapy (290.9 min +/- 3.4 min) compared to patients treated with thrombolysis (104.5 min +/- 2.3 min) and PCI/CABG (119.1 min +/- 2.3 min, all P < 0.05). The overall mortality rate was 5.3% (31/580) and all occurred in patients with medical therapy group mostly due to irreversible ventricular fibrillations. Old age (OR = 1.047, P = 0.004), diabetes mellitus (OR = 2.159, P = 0.02) and PDT (OR = 2.159, P = 0.023) are independent predict factors for mortality.</p><p><b>CONCLUSION</b>Coronary Revascularisation by thrombolysis, PCI or CABG early post acute myocardial infarction is the key issue for reducing mortality in patients with acute myocardial infarction.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Admissão do Paciente / Prognóstico / Terapêutica / Fatores de Tempo / Estudos Retrospectivos / Fatores de Risco / Mortalidade / Diagnóstico / Erros de Diagnóstico / Serviço Hospitalar de Emergência Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Aged80 / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Cardiology Ano de publicação: 2007 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Admissão do Paciente / Prognóstico / Terapêutica / Fatores de Tempo / Estudos Retrospectivos / Fatores de Risco / Mortalidade / Diagnóstico / Erros de Diagnóstico / Serviço Hospitalar de Emergência Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Aged80 / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Cardiology Ano de publicação: 2007 Tipo de documento: Artigo