Application value of Network ECG Consultation Center in ST-elevation myocardial infarction treatment

doi:10.3969/j.issn.1002-1949.2015.09.013

Abstract：Objective To investigate reperfusion therapy time and to evaluate the implementation effect of patients with acute ST -segment elevation myocardial infarction ( STEMI) who seek their first treatment in hospital without percutaneous coronary intervention ( PCI ) ability through Network ECG Consultation Center . Methods The hospital established a county -level regional collaborative rescue network through the platform of Network ECG Consultation Center to connect more than 50 grassroots health centers in the city .The hospital gave training to grassroots health centers to help them identify suspicious patients with STEMI , so that they could immediately send the ECG through the platform to the chest pain center in real time .The chest pain center launches relevant pre -hospital and in-hospital procedures in a timely manner after confirming the diagnosis .Twelve months before the operation of regional collaboration rescue network ( n=36 ) was regarded as the pre -operation group . The FMC-to-B time, the average D -to-B time, the average length of hospital stay and the case fatality rate in hospital after the implementation of the reperfusion therapy of STEMI patients of the pre -operation group were compared with those of STEMI patients twelve months after the operation (n=42). Results The establishment of Network ECG Consultation Center significantly reduced FMC -to -B time (P=0.000), D-to -B time (P=0.000) and the average length of hospital stay (P=0.000) in STEMI patients when compared to the pre -operation group; differences in mortality during hospitalization were not statistically significant (P =0.775).Conclusion It is feasible to establish STEMI regional collaborative rescue network system in the county -level economically developed coastal cities at county -level, because it could significantly shortenthe reperfusion time and the length of hospital stay of STEMI patients who seek their first treatment in non -PCI hospitals.