지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background/Aims: Delay in symptom-to-door time (SDT) in patients with acute ST-segment elevation myocardial infarction(STEMI) is the most important factor in the prediction of short and long-term mortality. The purpose of this study was to investigatethe social and clinical factors affecting SDT in patients with STEMI.
Methods: We analyzed 784 patients (61.0 ± 13.2 years, 603 male) diagnosed with STEMI from November 2005 to February 2012.
The patients were divided into four groups according to SDT: Group I (n = 163, ≤ 1 h), Group II (n = 183, 1-2 h), Group III (n = 142,2-3 h) and Group IV (n = 296, > 3 h).
Results: Delay in SDT increased with age (Group I, 58.4 ± 12.0; Group II, 59.4 ± 13.3; Group III, 62.0 ± 12.8; Group IV, 63.0 ±13.8 years, p = 0.001). In 119 patients, transportation was less frequently used as the delay in SDT (41.7% vs. 29.0% vs. 26.1% vs.
9.8%, p < 0.001). By multiple logistic regression analysis, family history [OR, 0.488; CI, 0.248-0.959; p = 0.037], previousischemic heart disease [OR, 0.572; CI, 0.331-0.989; p = 0.045], no occupation [OR, 1.600; CI, 1.076-2.380; p = 0.020] and methodof transportation [OR, 0.353; CI, 0.239-0.520; p < 0.001] were independent predictors of delay in SDT.Conclusions: Our study shows that general education about cardiovascular symptoms and a prompt emergency call could beimportant to reduce SDT in STEMI.
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참고문헌 (19)
참고문헌 신청
/ 1987 / Long-term effects of intravenous thrombolysis in acute myocardial infarction: final report of the GISSI Study: Gruppo Italiano per lo Studio della Streptochi-nasi ne
Antman EM / 2008 / 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American Colleg
Barakat K / 1999 / How should age affect management of acute myocardial infarction? a prospective cohort study / Lancet 353 : 955 ~ 959
Blankenship JC / 2011 / Door-toballoon times under 90 min can be routinely achieved for patients transferred for ST-segment elevation myocardial infarction percutaneous coro
Boersma E / 2003 / Acute myocardial infarction / Lancet 361 : 847 ~ 858
Antman EM / 2008 / 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American Colleg
Barakat K / 1999 / How should age affect management of acute myocardial infarction? a prospective cohort study / Lancet 353 : 955 ~ 959
Blankenship JC / 2011 / Door-toballoon times under 90 min can be routinely achieved for patients transferred for ST-segment elevation myocardial infarction percutaneous coro
Boersma E / 2003 / Acute myocardial infarction / Lancet 361 : 847 ~ 858
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