Early Experience of Busan-Ulsan Regional Cardiocerebrovascular Center Project in the Treatment of ST Elevation Myocardial Infarction

이동현; 서정민; 최재혁; 조용락; 박경일; 박태호; KIM MOO HYUN; Youngdae Kim; 맹수연; 김두영; 고은영; 박종성

Early Experience of Busan-Ulsan Regional Cardiocerebrovascular Center Project in the Treatment of ST Elevation Myocardial Infarction

Recommendations

Search

부산·울산 권역심뇌혈관질환센터 사업의 초기 경험

Type: Academic journal

Author: 이동현 서정민 최재혁 조용락 박경일 박태호 KIM MOO HYUN Youngdae Kim 맹수연 김두영 고은영 박종성

Journal: The Korean Association Of Internal Medicine 대한내과학회지 대한내과학회지 제85권 제3호 KCI Candidated Journals

Published: 2013.1

Pages: 275 - 284 (10page)

Usage

Early Experience of Busan-Ulsan Regional Cardiocerebrovascular Center Project in the Treatment of ST Elevation Myocardial Infarction

Abstract· Keywords

Report Errors

Background/Aims: The purpose of this study was to compare changes in primary percutaneous coronary artery intervention (PCI) outcomes after starting the government-directed Busan-Ulsan Regional Cardiocerebrovascular Center Project. Methods: Patients with ST segment elevation myocardial infarction (STEMI) who visited the Busan-Ulsan Regional Cardiocerebrovascular Center from 1 June 2009 to 30 May 2011 were selected. Their medical records were retrospectively reviewed. Clinical and survival outcomes before and after starting the project were compared. Results: A total of 122 patients (mean age, 63 ± 13 years; male, 74%) with STEMI were selected for analysis. There were no significant differences in patients’ baseline characteristics. After starting the Busan-Ulsan Regional Cardiocerebrovascular Center Project, the door-to-balloon time decreased from 72 ± 30 to 59 ± 22 minutes (p = 0.011). The door-to-balloon time when the PCI team did not stay in the hospital also decreased from 80 ± 30 to 62 ± 12 minutes (p = 0.005). However, there was no significant change in the total ischemic time (339 ± 293 vs. 304 ± 287 minutes, p = 0.514), survival discharge rate (94% vs. 93%, p = 1.000), or 1-year survival rate (89% vs. 91%, p = 0.996). Conclusions: After starting the government-directed Busan–Ulsan Regional Cardiocerebrovascular Center Project, the door-to-balloon time was significantly reduced. However, the total ischemic time and short-term survival remained unchanged.

#심근경색증 #관상동맥 중재시술 #Myocardial infarction #Percutaneous coronary intervention

No content found

References (11)

Add References

Blankenship JC / 2011 / Door-toballoon times under 90 min can be routinely achieved for patients transferred for ST-segment elevation myocardial infarction percutaneous coron

Bradley EH / 2006 / Strategies for reducing the door-to-balloon time in acute myocardial infarction / N Engl J Med 355 : 2308 ~ 2320

De Luca G / 2003 / Symptomonset-to-balloon time and mortality in patients with acute myocardial infarction treated by primary angioplasty / J Am Coll Cardiol 42 : 991 ~ 997

De Luca G / 2004 / Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction : every minute of delay counts / Circulation 109 : 1223 ~ 1225

Henry TD / 2007 / A regional system to provide timely access to percutaneous coronary intervention for ST-elevation myocardial infarction / Circulation 116 : 721 ~ 728