Influence of internet+standardized rapid treatment system for acute myocardial infarction on prognosis in patients with acute ST-segment elevation myocardial infarction
Yang Ping
Yu Hongwei
Gao Jiankai
Li Yong
Liu Changkai
Liang Yazhou
Wang Juan
Ding Yongli
Abstract：investigate the influence of internet+standardized rapid treatment system (ISRTS) for acute myocardial infarction (AMI) on the prognosis in patients with acute ST-segment elevation myocardial infarction (STEMI) undergone PCI. Methods Retrospective non-synchronous cohort study was used in this study. ISRTS and its procedure were carried out in the First People’s Hospital of Zhengzhou City on Nov. 2017. STEMI patients with planed PCI (n=106) were chosen into control group before ISRTS from Apr. 2017 to Oct. 2017, and the control group was given traditional treatment. STEMI patients with planed PCI (n=110) were chosen into observation group from Nov. 2017 to May 2018, and the observation group was given ISRTS and its procedure. The general data, rapid response indexes, indexes of disease severity at admission time, complications during hospitalization, social efficacy indexes and major adverse cardiovascular events (MACE) 6 months after the procedure were compared between 2 groups. Results The rapid response indexes (the time from disease onset to call ambulance, time from disease onset to finish of the first electrocardiogram (ECG) and admission, finishing time of the first myocardial enzymes detection, door-to-balloon dilation time, time from the first medical contact to open blood vessels) were all shorter in observation group than those in control group (all P<0.001). The indexes of disease severity at admission time (cTnI, NT-proBNP, LVEF, LVESd, LVEDd, hs-CRP) were all milder, and application rate of intra-aortic balloon pumps (IABP) was lower in observation group than those in control group (P<0.05). The social efficacy indexes (drug proportion, average hospitalization cost, average hospitalization time and patient satisfaction) were all superior in observation group to those in control group (all P<0.001). The incidence rates of complications during hospitalization (cardiac insufficiency, cardiogenic shock, ventricular aneurysm, malignant arrhythmia and total complications) were lower observation group than those in control group (all P<0.05). The incidence rate of MACE was lower in observation group than that in control group (P<0.001). Conclusion ISRTS establishes and optimizes STEMI treatment process, improves treatment efficiency, shortens myocardial reperfusion time, reduces complications, effectively improves the clinical prognosis in STEMI patients, and creates good social benefits.
Keywords：InternetStandardized rapid treatment systemAcute myocardial infarctionST-segment elevationPrognosis
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1349-1353 )