Retrospective analysis towards diagnosis and treatment status of acute myocardial infarction patients in Binhai Community

Abstract

Objective: To investigate the features towards diagnosis and treatment status of acute myocardial infarction patients in Binhai community. And to offer some helps towards community hospitals in treatment with AMI patients. Methods: One hundred and twenty one AMI patients were randomly divided into treatment groups (n=72) and control groups (n=49). Two groups comparative difference was not statistically significant in age, Killip classification, hypertension, diabetes, hyperglycemia, stroke, and drug used after entering the hospital (P all>0.05). The treatment group received the drugs within 4 h, Control group received the drugs after 4 h. Results: The post infarction angina rate is low in treatment group (4.17%) when compared with control group (18.37%) after entering the hospital. And the death rate is also low in treatment group (1.39%) when compared with control group (10.20%) after entering the hospital. The utilization rates of drugs by recommendation like nitrates, β -receptor blockers, aspirin, clopidogrel, low molecular weight heparin were excellent when compared with situations two decades ago. Traditional Chinese medicine intervention is more popular than before. Conclusions: Low post infarction angina rate and low death rate have the positive correlation with drugs by recommendation and traditional Chinese medicine intervention. AMI patients under emergency thrombolytic therapy can improve the treatment effect, improve the prognosis of patients effectively and accelerate the rehabilitation. hs-cTn detecting techniques will classify the patients rapidly and bring a brilliant future to them.

Keywords

• Acute coronary syndrome
• Acute myocardial infarction
• Non-ST-segment elevation
• ST-segment depression
• Community hospital
• hs-cTn