Volume 20 Issue 9
Sep.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(9): 1603-1607
HE Wen-jun, ZHANG Xiao-fang, JIN Yu, MAO Ying. Impact of continuous improvement in the construction of the chest-pain centre on the rescue time of acute ST segment elevated myocardial infarction and cardiovascular adverse events[J]. Chinese Journal of General Practice, 2022, 20(9): 1603-1607. doi: 10.16766/j.cnki.issn.1674-4152.002659
Citation: HE Wen-jun, ZHANG Xiao-fang, JIN Yu, MAO Ying. Impact of continuous improvement in the construction of the chest-pain centre on the rescue time of acute ST segment elevated myocardial infarction and cardiovascular adverse events[J]. Chinese Journal of General Practice, 2022, 20(9): 1603-1607. doi: 10.16766/j.cnki.issn.1674-4152.002659
shu

Impact of continuous improvement in the construction of the chest-pain centre on the rescue time of acute ST segment elevated myocardial infarction and cardiovascular adverse events

doi: 10.16766/j.cnki.issn.1674-4152.002659
  • 1.

    Department of Cardiovascular, the Quzhou Affiliated Hospital of Wenzhou Medical University (Quzhou People's Hospital), Quzhou, Zhejiang 324000, China

Funds:

 2018KY169

 2021010

  • Received Date: 2022-02-10
    Available Online: 2022-11-29
    Abstract
  •   Objective  To analyse the effect of continuous improvement in chest-pain centre on the treatment effect and adverse events of acute ST segment elevation myocardial infarction (STEMI).  Methods  A total of 186 patients with STEMI within 12 h before and after the establishment of chest-pain centre of Quzhou Hospital Affiliated to Wenzhou Medical University from November 2020 to August 2021 were compared. Patients treated from November 2020 to March 2021 (before the continuous improvement in chest-pain centre construction) served as the control group. Patients treated from April 2021 to August 2021 (after the continuous improvement in chest-pain centre construction) served as the observation group. There were 93 patients in both groups. Treatment time, incidence of major adverse cardiovascular events, and cardiac function at 1 month after discharge were compared between the two groups.  Results  The treatment time of patients in the observation group was shorter than that in the control group (all P < 0.05). The incidence of major adverse cardiovascular events in the observation group was 6.6%, lower than 16.1% in the control group (P < 0.05). One month after discharge, the left ventricular ejection fraction (LVEF), plasma brain natriuretic peptide (BNP), and 6 min walking distance in the observation group were (52.45±6.02) %, (50.91±4.23) pg/mL, (422.07±20.59) m, respectively, which were better than those in the control group [(47.62±5.22) %, (68.77±6.81) pg/mL, (391.41±19.45) m, all P < 0.05].  Conclusion  The continuous improvement in the construction of chest-pain centre can shorten the rescue time of STEMI patients, reduce the occurrence of cardiovascular adverse events, and improve the prognosis of patients, which is worthy of clinical application.

     

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