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

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

程姝娟;迟云鹏;吴铮;马芹;徐方兴;颜红兵;王健;赵汉军;李世英;李庆祥;郑文斌;宋莉;王新

【期刊名称】《中华老年医学杂志》

【年(卷),期】2009(028)006

【摘要】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