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| Analysis of the current situation of delayed treatment in patients with ST segment elevation acute myocardial infarction in Weihai urban district |
| Pang Li, Zheng Yan-jie, Xue Ling-he, Yang Xiao-zhen |
| Department of Emergency, Weihai Municipal Hospital, Weihai 264200, China |
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Abstract Objective: To analyze the pre-hospital delay time (PHDT) of the patients with ST elevation acute myocardial infarction (STEAMI) in Weihai City, and to provide the basis for a feasible method to save the lives of STEAMI patients in this region by shortening the time before they received reperfusion therapy. Methods: This retrospective analysis collected clinical data of 1898 cases of STEAMI from 2005 to 2014 in Weihai Municipal Hospital. Among them, 1310 cases were male, 588 were female, ageing from 25 to 74 years old, with an average age of (61.98±13.19) y. We collected the patient age, gender and PHDT information. According to age, the patients were divided into 25～54 years group, 55～64 years group and 65～74 years group, to compare the differences of PHDT among different gender and age of patients with STEAMI PHDT. Results: The overall PHDT was 178(103～524)min; female was longer than male ［205(105～552)min vs. 169(92～508)min］. The female(65～74 y)reached 216(118～615)min, which was much greater than the male(25～54 y)with 132(75～462)min. The rate of hospital visits was 10.2%(194/1 898)and 36.5%(692/1 898)respectively within 1 h and 2 h after symptom onset; the rate of hospital visit in female(65～74 y)was 6.7%. Conclusion: The STEAMI PHDT of Weihai City is high from 2005 to 2014. Women, especially older women have a higher risk of delay in medical treatment. More attention should be paid, and more preventive measures should be adopted to improve survival rate and prognosis.
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Received: 30 April 2017
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Corresponding Authors:
Zheng Yan-jie, E-mail: lizhengyanjie@163.com
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