NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ 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 describe the clinical and paraclinical characteristics of patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) and to determine the door-to-wire time in primary PCI for STEMI patients. 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: Inferior STEMI was the most common type, accounting for 49 cases (45.8%), followed by anterior STEMI in 44 cases (41.1%) and septal STEMI in 15 cases (14.0%). The median door-to-wire time was 59 minutes (range: 56–88 minutes), with 61.7% of cases meeting the target time. The median times for each segment of the door-to-wire process were as follows: emergency department arrival to ECG: 3 minutes, ECG to STEMI diagnosis: 8 minutes, STEMI diagnosis to consultation with an interventional cardiologist: 12 minutes, Cardiologist consultation to patient arrival at the catheterization lab: 14 minutes, Hospital admission to catheterization lab: 39 minutes, Catheterization lab arrival to needle puncture: 11 minutes, Needle puncture to wire crossing the lesion: 11 minutes. Conclusion: in our study, the median door-to-wire time was 59 minutes, with 61.7% of cases achieving the target time.