The Impact Of Revasclarization In The Patients With Acute ST-segment Elevation Myocardial Infarction

Objective To evaluate the impact of revascularization in patients of STEMI.Method retrospective study, enrolled1016patients with STEMI, and analysed the clinical data, the time onset to admit to hospital, according to treat method these Patients were divided into primary PCI and elective PCI groups, analyze are there some difference betwteen two groups in age, gender, occupation, smoking, hypertension,diabetes, coronary artery disease,etc. Evaluate the impact of revascularization in patients of STEMI.Result (1) most patients (78.3%) delayed the time of admission to hospital, not received the primary PCI;(2)the patients of17.9%received primary PCI,68.8%received elective PCI;1.6%received thrombolysis, and medications is11.6%.(3) Age, diabetes, occupation, locality from the hospital are important reason that lead to patients could not receive primary PCI.Conclusion the time of admission to hospital delayed is the most important reason, which lead to the patients with STEMI could not receive reperfusion timely; the impact of doctor is the critical factor that lead to patients who in time of reperfusion windows could not receive revascularization.