Investigation of second level drug prevention of acute ST segment elevation myocardial infarction in poor areas of northern Liaoning Province and countermeasure research
WANG Yong
LUAN Bo
ZHAO Hongwei
YU Guoning
WANG Lili
SUN Jiahe
XIAO Keling
LI Yuan
ZHANG Xiaojiao
HOU Aijie
Abstract：Objective To investigate the present treatment status and second level drug prevention of acute STEMI in the poor areas of northern Liaoning and to explore the possible measures for improvement.Methods Seven county hospitals in poor areas of northern Liaoning Province and 635 cases of STEMI patients were included in this study.Second level drug prevention and clinical data were recorded in detail.Results Aspirin were 475 (74.8％) and clopidogrel were 212 (33.4％),angiotensin converting enzyme inhibitors / angiotensin Ⅱ receptor antagonist (ACEI/ARB)were 280 (44.1％),beta blockers were 178(28.0％),statins were 429(67.6％) and low molecular weight heparin were 134(21.1％).The proportion of echocardiography examination was 116(18.3％).140(22.0％)of the STEMI patients received reperfusion therapy,25 (3.9％)of the patients received thrombolysis,elective PCI ratio was 115(18.1％),patients transferred for PCI was 120(18.9％),in hospital mortality rate was 56(8.8％),give up for treatm.ent was 134(21.1％).The average hospitalization cost was RMB 8 548.9,and the mean hospitalization time was 8.3 days.Conclusion The second level drug prevention of acute STEMI in poor areas of northern Liaoning Province was generally low,the echocardiography examination and the ratio of reperfusion therapy was really low.It is necessary to enhance the diagnosis and treatment ability of AMI,improve the second level drug prevention and establish the three level diagnosis and treatment system in northern Liaoning Province,which will Improve STEMI treatment ability and prognosis.
Keywords：Acute ST segment elevated myocardial infarctionSecond level drug preventionPoor areas of northern Liaoning Province
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 35-37,50 )