Marques Nuno, Faria Ricardo, Sousa Pedro, Mimoso Jorge, Brandão Victor, Gomes Veloso, Jesus Ilídio
Serviço de Cardiologia, Hospital de Faro, EPE, Faro, Portugal.
Rev Port Cardiol. 2012 Oct;31(10):647-54. doi: 10.1016/j.repc.2012.07.005. Epub 2012 Sep 23.
There are few published data on mortality in anterior ST-segment elevation myocardial infarction (STEMI) in Portugal, particularly in centers with direct access to primary angioplasty. We present the experience of a center with direct access to primary angioplasty in the management of patients admitted with anterior STEMI.
We performed a retrospective study of 120 patients admitted with anterior STEMI in 2008 to Faro Hospital (Algarve region, Portugal).
Significant coronary artery stenosis was found in 99 patients (82.5%). These patients were predominantly male (79%), and had a mean age of 63 years. Primary angioplasty was performed in the majority of patients within 6 hours of symptom onset and median ECG-to-balloon time was 89 minutes. Primary angioplasty was successful in 98% of patients and complete revascularization was achieved in 83%. Radial access was used in 82% of cases. In-hospital and 30-day mortality was 3%.
Direct access to primary angioplasty was associated with low mortality in patients admitted with anterior STEMI.
关于葡萄牙前壁ST段抬高型心肌梗死（STEMI）患者死亡率的公开数据较少，尤其是在可直接进行直接经皮冠状动脉腔内血管成形术（primary angioplasty）的中心。我们介绍了一个可直接进行直接经皮冠状动脉腔内血管成形术的中心在治疗前壁STEMI入院患者方面的经验。
我们对2008年入住法鲁医院（葡萄牙阿尔加维地区）的120例前壁STEMI患者进行了回顾性研究。
99例患者（82.5%）发现有明显冠状动脉狭窄。这些患者以男性为主（79%），平均年龄63岁。大多数患者在症状发作6小时内接受了直接经皮冠状动脉腔内血管成形术，心电图至球囊扩张的中位时间为89分钟。98%的患者直接经皮冠状动脉腔内血管成形术成功，83%的患者实现了完全血运重建。82%的病例采用桡动脉入路。住院期间及30天死亡率为3%。
直接进行直接经皮冠状动脉腔内血管成形术与前壁STEMI入院患者的低死亡率相关。
