지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 617 - 624 (8page)
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초록· 키워드
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Purpose: ST-elevation myocardial infarction (STEMI) patients may visit the emergency department (ED) complaining of sensations of pain other than the chest. We investigated our performance of reperfusion therapy for STEMI patients presenting with non-chest pains. Materials and Methods: This was a retrospectiveobservational cohort study. STEMI patients who underwent primary percutaneouscoronary intervention (PCI) were divided into a chest pain group and a non-chest pain group. Clinical differences between the two groups and the influence of presenting with non-chest pains on door-to-electrocardiograms (ECG) time, door-to-balloon time, and hospital mortality were evaluated. Results: Of the 513 patientsdiagnosed with STEMI, 93 patients presented with non-chest pains. Patients in the non-chest pain group were older, more often female, and had a longer symptomonset to ED arrival time and higher Killip class than patients in the chest pain group. There was a statistically significant delay in door-to-ECG time (median, 2.0 min vs. 5.0 min; p<0.001) and door-to-balloon time (median, 57.5 min vs. 65.0 min; p<0.001) in patients without chest pain. In multivariate analysis, presenting with non-chest pains was an independent predictor for hospital mortality (odds ratio,2.3; 95% confidence interval, 1.1-4.7). However, door-to-ECG time and door-to-balloon time were not factors related to hospital mortality. Conclusion: STEMI patients presenting without chest pain showed higher baseline risk and hospital mortality than patients presenting with chest pain. ECG acquisition and primary PCI was delayed for patients presenting with non-chest pains, but not influencing hospital mortality. Efforts to reduce pre-hospital time delay for these patients are necessary.
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참고문헌 (20)
참고문헌 신청
Angeja BG / 2002 / Predictors of door-to-balloon delay in primary angioplasty / Am J Cardiol 89 : 1156 ~ 1161
Benamer H / 2011 / Female gender is an independent predictor of in-hospital mortality after STEMI in the era of primary PCI: insights from the greater Paris area PCI Registr
Borden WB / 2012 / Quality improvement in the door-to-balloon times for ST-elevation myocardial infarction patients presenting without chest pain / Catheter Cardiovasc Inter
Brieger D / 2004 / Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the Global Registry of Acute Coronary Events
Canto JG / 2000 / Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain / JAMA 283 : 3223 ~ 3229
Benamer H / 2011 / Female gender is an independent predictor of in-hospital mortality after STEMI in the era of primary PCI: insights from the greater Paris area PCI Registr
Borden WB / 2012 / Quality improvement in the door-to-balloon times for ST-elevation myocardial infarction patients presenting without chest pain / Catheter Cardiovasc Inter
Brieger D / 2004 / Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the Global Registry of Acute Coronary Events
Canto JG / 2000 / Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain / JAMA 283 : 3223 ~ 3229
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