Impact Of The County-level Chest Pain Center Construction On The Treatment Of Patients With Acute Myocardial Infarction

Objective:This study was based on the comparison patients of acute myocardial infarction visits before and after the establishment of chest pain centers,and to observe the effectiveness of the establishment of chest pain centers in county-level hospitals for the treatment of patients with acute myocardial infarction,whether it can shorten the treatment time,and achieve rapid diagnosis and timely treatment.Methods:Establish a county-level chest pain center in accordance with China Chest Pain Center certification standards,and select 125 patients with acute myocardial infarction admitted to Yifeng County People's Hospital between January 2017 and May 2019.General statistical data(gender,age,etc.)of selected patients and s2FMC,first ECG time,heart marker detection time,heart failure rate,reperfusion rate,referral rate,the rate of rehospitalization at 30 days,length of stay and hospitalization cost were analyzed.Results:Patients with acute myocardial infarction from January 2017 to April 2018 were the control group A,and group A was the patients who visited the chest pain center before the establishment,a total of 57 patients,including 39 male patients,18 female patients,and 26 NSTEMI patients,31 STEMI patients,and whit an average age was 63.59±16.81 years.From May 2018 to May 2019,the patients with acute myocardial infarction were observed in group B.Group B was the patients who attended the chest pain center after the establishment of the chest pain center,a total of 62 patients,including 42 male patients and 20 female patients.There were 29 NSTEMI patients and 33 STEMI patients with an average age of 65.98±13.47 years.Compared with the control group A before the establishment of the chest pain center,the observation group B after the establishment of the FMC,the first antiplatelet time,the first electrocardiogram time and the troponin time all significantly decreased.Before the establishment of the chest pain center,the heart failure rate of the control group A was 56.1%,the thrombolytic rate was 12.5%,and the referral rate was 64.3%.,the rate of rehospitalization at 30 days was 25.6%.After the establishment of the chest pain center,the heart failure rate of the observation group B was 23.4%,and the thrombolytic rate was 85.5%.The referral rate was 8.8%,the rate of rehospitalization at 30 days was 5.8%.and there was a significant difference between the two.There must be a significant difference in the number of hospitalization days and hospitalization costs.The group B group has a lower number of hospitalization days and hospitalization costs than the control group A group.Conclusion:After the establishment of the Chest Pain Center,the FMC,the first antiplatelet time,the first electrocardiogram time,and the troponin time in patients with myocardial infarction can be effectively shortened,the treatment efficiency and level were improved.