Department of Clinical Physiology, Sultan Qaboos University Hospital, Muscat, Oman.
Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2022 May;22(2):283-287. doi: 10.18295/squmj.4.2021.069. Epub 2022 May 26.
To assess the causes of delay for presentation with ST elevation myocardial infarction (STEMI).
Patients who presented with STEMI to the Emergency Department at the Sultan Qaboos University Hospital, Muscat, Oman between January 2017 and December 2019 and were admitted for primary angioplasty were included in this study.
A total of 101 patients were included with a mean age of 54.8 + 10.8 years and the majority were male patients (n = 80; 79.2%). The median (interquartile range) pain-to-door time was 60 min (30-120 min). There were 66 (65.4%) patients who arrived within 90 minutes. All except one arrived by privately arranged transport. Feeling that the pain was not important (61.0%) or not cardiac (22.8%) were the main reasons for delay. Being diabetic was the only patient factor that predicted delay.
A high proportion of patients presenting to our institution with a STEMI arrived within recommended times. However more public education is required to improve awareness about the importance of early evaluation of chest pain.
评估 ST 段抬高型心肌梗死（STEMI）患者就诊延误的原因。
本研究纳入了 2017 年 1 月至 2019 年 12 月期间在阿曼马斯喀特苏丹卡布斯大学医院急诊科就诊并接受直接经皮冠状动脉介入治疗的 STEMI 患者。
共纳入 101 例患者，平均年龄为 54.8±10.8 岁，大多数为男性（n=80；79.2%）。中位（四分位间距）疼痛至门时间为 60 分钟（30-120 分钟）。有 66 例（65.4%）患者在 90 分钟内到达。除 1 例外，所有患者均通过私人安排的交通工具到达。认为疼痛不重要（61.0%）或不是心脏相关（22.8%）是导致延误的主要原因。糖尿病是唯一预测延误的患者因素。
本研究机构就诊的 STEMI 患者中，有很大一部分在推荐时间内到达。然而，需要进行更多的公众教育，以提高对早期评估胸痛重要性的认识。
