engleski

Parameters for assessment of late hospital admission of patients with acute myocardial infarction

The aim of this investigation was to analyze the total time from the onset of chest pain to the time of hospitalization in patients with acute myocardial infarction (AMI), and to estimate the parameters that could influence on late hospital admission. Results: A total of 1314 patients with diagnosis of AMI were adimitted to CCU of University Hospital Split during the 1999, 2003 and 2005. The measurement included the time from the onset of chest pain to admission to CCU. During three investigated years, median period from the onset of chest pain to hospitalization was significantly decreased (5.2 h : 6 h : 4.3 h ; p<0.001). More than half of male patients were admitted to the CCU more than 12 h after the onset of cardiac pain. On the other hand, almost half of females were hospitalized within 90 min. Older patients were admitted later than younger. The rapidity of hospitalization in patients with AMI significantly differences according to gender (p=0.018), age (p<0.001), location of myocardial infarction (p<0.001), arrhythmias and conduction disturbances (p<0.001). Patients with AMI and ST elevation of anterior or inferior location were approached faster to the hospital in comparison with AMI without ST elevation (p<0.001). Of 436 patients with anterior and anteroseptal location, 37 patients were arrivaled to the hospital in 90 min from the onset of pain, and only 29 of 442 patients with inferoposterior and inferior AMI. Patients with AMI who had arrhythmias or conduction disturbances, were approached significant faster to the hospital (p<0.001). Of 81 patients with AMI who were arrivaled in 90 min from the onset of pain, arrhythmias were recorded in 65.4%. Only 34.6% of patients without recorded arrhythmias were arrivaled to the hospital in 90 min from onset of pain. Conclusions: During investigated years, median period from the onset of chest pain to hospitalization was significantly decreased. More than half of male patients were admitted to the CCU more than 12 h after the onset of cardiac pain. The rapidity of hospitalization significantly differences according to gender, age, location of infarction, arrhythmias and conduction disturbances.

Heart failure; late hospital admission; outcome.

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