Treatment status of patients with acute myocardial infarction in rural and urban areas of western Liaoning Province
Li Rui
Luan Bo
Duan Na
Li Jiajin
Li Yuan
Wang Yong
Hou Aijie
Abstract：Objective To compare the ways of treatment and time difference from disease onset time to hospital arrival time in 433 patients with acute myocardial infarction (AMI) in rural and urban areas of western Liaoning Province, and analyze their treatment status. Methods AMI patients (n=433, male 261, female 172 and average age=66.26±12.51) were chosen from the Central Hospital of Fuxin City and Central Hospital of Beipiao City, and their data was retrospectively analyzed from Jan. 2014 to Jan. 2015. The time difference from disease onset time to hospital arrival time was recorded as pre-hospital delay time (PDT). The distribution of PDT, ways of hospital arrival and treatment situation were counted in patients from rural and urban areas. Results In treatment ways, there were 379 patients taken self-visiting doctors, and 54 patients taken calling "120" emergency system among AMI patients from rural and urban areas. The difference in thrombolysis, PCI and conservative medication had no statistical significance between patients with ST-segment elevation myocardial infarction (STEMI) from urban areas and those from rural areas (P>0.05). The percentage of cases with PDT>720 min was the highest in rural patients, and percentage of cases with PDT<30 min was the highest in urban patients. The difference in PDT≤720 min and PDT>720 min had no statistical significance between STMEI patients from urban areas and those from rural areas. The percentage of cases with PDT≤720 min was lower in rural patients with non-ST-segment elevation myocardial infarction (non-STEMI) than that in urban non-STEMI patients. Conclusion In rural areas of western Liaoning Province, there is a prevalent delay in treatment in AMI patients. The education of cardiovascular health knowledge and first-aid knowledge of AMI should be promoted and strengthened in general rural population. AMI green channel should be established for shortening PDT, reducing delay in treatment, and winning prime time of reperfusion therapy for patients.
Keywords：Acute myocardial infarctionPre-hospital delay timeReperfusion therapy
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( 1328-1331 )