ST段抬高型心肌梗死患者转至行直接冠状动脉介入治疗时的院间延迟与死亡率的关系
Relation of interhospital delay and mortality in patients with ST-segment elevation myocardial infarction transferred for primary coronary angioplasty.
作者信息
De Luca Giuseppe, Ernst Nicolette, Suryapranata Harry, Ottervanger Jan Paul, Hoorntje Jan C A, Gosselink A T Marcel, Dambrink Jan-Henk, de Boer Menko-Jan, van 't Hof Arnoud W J
机构信息
Department of Cardiology, ISALA Klinieken, Hospital De Weezenlanden, Zwolle, The Netherlands.
出版信息
Am J Cardiol. 2005 Jun 1;95(11):1361-3. doi: 10.1016/j.amjcard.2005.01.083.
The aim of the present study was to evaluate the impact of interhospital delay on mortality in 616 patients with ST-segment elevation myocardial infarction transferred for primary angioplasty to our hospital. Longer interhospital delay was associated with impaired perfusion, larger infarct size, and higher 1-year mortality (adjusted RR 1.5, 95% confidence interval 1.07 to 2.12; p = 0.019). These results suggest that in patients with ST-segment elevation myocardial infarction transferred for primary angioplasty, all efforts should be made to reduce time to treatment.
本研究的目的是评估院间延误对616例因直接经皮冠状动脉腔内血管成形术（primary angioplasty）转至我院的ST段抬高型心肌梗死患者死亡率的影响。更长的院间延误与灌注受损、梗死面积增大和1年死亡率升高相关（校正风险比1.5，95%置信区间1.07至2.12；p = 0.019）。这些结果表明，对于因直接经皮冠状动脉腔内血管成形术转院的ST段抬高型心肌梗死患者，应尽一切努力缩短治疗时间。
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