ANALYSIS OF DOOR TO BALLOON TIME IN PATIENTS WITH ACUTE CORONARY SYNDROME ADMITTED TO THE EMERGENCY DEPARTMENT
Journal Title: Kocatepe Medical Journal - Year 2024, Vol 25, Issue 1
Abstract
OBJECTIVE: To analyze the processes of diagnosis, consultation process and primary percutaneous intervention of patients hospitalized with acute coronary syndrome in the emergency department in order to obtain data to achieve more successful results and to provide suggestions that can contribute to the literature. MATERIAL AND METHODS: A retrospective study was conducted in a secondary care hospital between 01.01.2021 and 31.12.2021 by examining the patients who were hospitalized from the emergency department with a diagnosis of acute coronary syndrome and who underwent procedures in the coronary angiography unit during this period. RESULTS: 694 patients were evaluated in the study. 67.4% of the patients were male. The overall mean age was 65.59±13.59 years. 23.5% of the cases were ST segment elevation myocardial infarction and 76.5% were unstable angina without ST segment elevation. Percutaneous coronary intervention was performed in 515 patients. The mean consultation time was 195.98±140 minutes, 21.90±28.3 minutes in cases with acute ST elevation and 174.44±142.7 minutes in cases without ST elevation. Percutaneous coronary intervention was performed in a mean of 28.89±23.14 minutes in patients with acute ST elevation and 285.44±265.79 minutes in patients without ST elevation. CONCLUSIONS: Studies have shown that early primary percutaneous intervention in acute coronary syndrome significantly reduces mortality. Therefore, the door balloon time should be kept very short.
Authors and Affiliations
Mustafa ALPASLAN
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