NGHIÊN CỨU MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN THỜI GIAN CỬA-DÂY DẪN TRONG CAN THIỆP MẠCH VÀNH QUA DA TIÊN PHÁT Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP ST CHÊNH LÊN

Abstract

Objectives: To investigate factors influencing door-to-wire time in primary percutaneous coronary intervention (PCI) in patients with ST-elevation myocardial infarction (STEMI). Methods: this retrospective study was conducted on 107 STEMI patients admitted to the University Medical Center Ho Chi Minh City and undergoing primary PCI according to the European Society of Cardiology guidelines from January 2024 to April 2024. Results: Several factors were associated with door-to-wire time, including: symptom onset time: 0.96 (0.93–1.0), p = 0.003; inter-hospital transfer: 1.67 (1.06–2.64), p = 0.008; respiratory or circulatory support: 0.46 (0.18–1.20), p = 0.03; estimated glomerular filtration rate (eGFR) ≤60 mL/min/1.73 m²: 0.41 (0.21–0.82), p < 0.001; ST elevation >2 mm: 1.58 (1.20–2.08), p = 0.002; three-vessel coronary artery disease: 0.66 (0.45–0.96), p = 0.015. Conclusion: In our study, factors associated with door-to-wire time included the time from symptom onset to hospital admission, inter-hospital transfer, need for respiratory or circulatory support, eGFR ≤60 mL/min/1.73 m², ST elevation >2 mm, and the presence of three-vessel coronary artery disease.