Turk Kardiyol Dern Ars. 2016; 44(1): 30-36 | DOI: 10.5543/tkda.2015.04680
Evaluation of transfer parameters in patients admitted to our hospital with ST-elevation myocardial infarction
, Hakan Özhan2
, Enver Sinan Albayrak2
, Yasin Türker21
Duzce Ataturk State Hospital, Cardiology, Duzce - Turkey2
Department of Cardiology, Duzce University Medical School, Duzce - Turkey.
OBJECTIVE Acute coronary syndrom (ACS) is a common disease that causes severe morbidity and mortality. The most important aspect of ST-elevation myocardial infarction (STEMI) as a subgroup of ACS treatment is the rapid reperfusion of arteries. Successful results depend not only on the experience of the center but also on the rapidity in which reperfusion is achieved. In our study, the transfer parameters were evaluated in patients who were admitted to our hospital with STEMI.
METHODS Two hundred consecutive patients (160 males, 40 females) who underwent primary percutaneous coronary intervention (PCI) for acute STEMI between January 2011 and March 2013 were included in our study. Transfer parameters of symptom-to-reperfusion treatment, clinical characteristics, and laboratory parameters were recorded.
RESULTS Thirty-six patients were admitted to our hospital with ambulances; 70 patients were admitted to centers without PCI capability, with a mean transfer time to our hospital of 73.9±12.5 min. Median pain-to-first medical contact time was 105 min (range: 5600 min), and average first medical contact- to-balloon time was 115.5 min (range: 20414 min). Total pain-to-balloon time in females was significantly higher than males (246 min [range: 70840 min], 195 min [range: 45684 min], respectively, p=0.032). Mean pain-to-balloon time was significantly lower in patients delivered to the hospital by ambulance than in patients admitted to emergency departments independently (185 min [range: 45439 min], 248 min [range: 65840 min], respectively, p=0.017).
CONCLUSION In this study, our hospital door-to-balloon time was found compatible with the target specified in the European Society of Cardiology and American College of Cardiology STEMI guidelines; however, first medical contact-to-balloon time was found to be above that advised by the current guidelines.
Acute coronary syndromes, chest pain; door-to-balloon time; primary angioplasty; ST elevation myocardial infarction.
How to cite this article
Cengiz Başar, Hakan Özhan, Enver Sinan Albayrak, Yasin Türker. Evaluation of transfer parameters in patients admitted to our hospital with ST-elevation myocardial infarction. Turk Kardiyol Dern Ars. 2016; 44(1): 30-36
Corresponding Author: Cengiz Başar, Türkiye