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- W2386858711 abstract "Objectives To study the characteristics and therapies of patients with acute ST-segment elevation myocardial infarction(STEMI) in Wuxi,China. Methods Through network,we analyzed the baseline characteristics and therapies of 1 410 patients with STEMI admitted to the nine designated hospitals in Wuxi from January 2011 to December 2012.Results The onset-to-door time,onset-to-first electrocardiogram time and onset-to-specialized treatment time were the shortest in patients found STEMI in hospital,longer in patients admitted by 120 ambulances,and the longest in patients admitted by themselves. The onset-to-thrombolysis time and door-to-thrombolysis time in patients admitted by 120 ambulances were shorter than those in patients admitted by themselves. Among patients receiving percutaneous coronary intervention(PCI),the onset-to-balloon dilatation time and door-to-balloon dilatation time in patients admitted by 120 ambulances were shorter than those in patients admitted by themselves. Among patients receiving reperfusion,the onsetto thrombolysis time,door-to-thrombolysis time,onset-to-balloon dilatation time and door-to-balloon dilatation time in patients admitted by 120 ambulances were shorter than those in patients admitted by themselves. In-hospital all-cause mortality and incidence of major adverse cardiovascular events(MACE) were significantly different among different onsetto-door time groups(3 h group vs. 3-6 h group vs. 6-12 h group vs. ≥12 h group: 4.23% vs. 10.54% vs. 18.67% vs.23.67%,χ2=83.372,P0.01; 4.47% vs. 13.24% vs. 18.98% vs. 34.63%,χ2=116.325,P0.01). In-hospital all-cause mortality and incidence of MACE among primary PCI group,thrombolysis group and early conservative treatment group were obviously different(1.50% vs.10.00% vs.18.20%,χ2=50.896,P 0.01; 5.76% vs. 12.27% vs. 20.86%,χ2=39.934,P 0.01). Conclusions Patients with acute STEMI combined hypertension are most common in Wuxi,China.Drug treatments of STEMI have been canonically given according to the guide. A lower proportion of STEMI patients in Wuxi receive reperfusion including primary PCI and thrombolytic therapy,as well as a lower proportions of door-tothrombolysis in 30 min and door-to-balloon dilatation in 90 min. In-hospital all-cause mortality and incidence of MACE are the lowest in primary PCI group,higher in thrombolysis group,and the highest in early conservative treatment group.Patients found STEMI in hospital consume the least time out of hospital,then in patients admitted by 120 ambulances,and the longest in patients admitted by themselves. Moreover,a treatment delay for more than 12 hours shows higher inhospital all-cause mortality,more incidence of MACE and less achievement ratio of reperfusion." @default.
- W2386858711 created "2016-06-24" @default.
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- W2386858711 date "2014-01-01" @default.
- W2386858711 modified "2023-09-23" @default.
- W2386858711 title "Therapeutic status of patients with acute ST-segment elevation myocardial infarction in Wuxi City,China——a multicenter research" @default.
- W2386858711 hasPublicationYear "2014" @default.
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