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Assessment of the Diagnosis-To-Needle Times for Patients Admitted to the Emergency Department with Acute ST-Segment Elevation Myocardial Infarction Cover

Assessment of the Diagnosis-To-Needle Times for Patients Admitted to the Emergency Department with Acute ST-Segment Elevation Myocardial Infarction

Open Access
|Mar 2024

Figures & Tables

FIGURE 1.

Relationship between diagnosis-to-needle time and troponin values after 48 h

FIGURE 2.

Relationship between pain onset-to-diagnosis time and troponin values after 48 h

Sociodemographic and clinical characteristics

%
Smoking
  Yes60
  No40
Diabetes mellitus
  Yes20
  No80
Hypertension
  Yes20
  No80
History of coronary artery disease
  Yes20
  No80
Type of myocardial infarction
  Anterior48
  Inferior48
  Lateral4
Localization of the culprit lesion
  CX, mid region6
  LAD, mid region24
  LAD, osteal region2
  LAD, proximal6
  LAD, proximal region14
  LAD-SAFEN proximal region2
  RCA, pre-crux2
  RCA, distal region4
  RCA, mid region20
  RCA, proximal6
  RCA, proximal region10
  RCA, proximal and crux region2
  RCA, proximal and distal region2
Contrast nephropathy
  Not developed96
  Developed4
Patient's time of arrival
  Out of working hours60
  During working hours40

Relationship between the localization of the culprit lesion and post-angiography ejection fraction

Localization of the culprit lesionnPost-angiography ejection fraction (%)p value
LAD mid regiona1244.50 ± 7.650.017*
LAD proximal regionb743.29 ± 8.300.035& (difference between a and c)
RCA mid regionc1052.20 ± 3.990.034& (difference between b and c)

The relationship between diagnosis-to-needle times according to working hours

During working hours (n = 20)Outside of working hours (n = 30)p value

Frequency%Frequency%
Male13652583.30.210*
Female735516.6
Age58.89 ± 1253.62 ± 140.205**
Smoking
  Yes11551963.30.594*
  No9451136.7
Onset of pain-to-diagnosis time (h)1.87 ± 0.993.12 ± 2.970.043**
Diagnosis-to-needle time (min)29.89 ± 6.1237.31 ± 6.430.000**
Baseline troponin (ng/ml)5.04 ± 5.983.98 ± 4.840.974**
Control troponin after 48 h (ng/ml)28.77 ± 12.7641.29 ± 10.710.001**
Troponin increase23.73 ± 11.9337.30 ± 11.040.000**
Post-angiography ejection fraction (%)50.39 ± 4.5745.48 ± 6.910.011**
Diabetes mellitus
  Yes315723.30.334*
  No17852376.7
Hypertension
  Yes525516.60.210*
  No15752583.4

Evaluation of diagnosis-to-needle time

Mean ± SD
Onset of pain-to-diagnosis time (h)2.64 ± 2.47
Post-angiography ejection fraction (%)47.36 ± 6.53
Baseline troponin (ng/ml)4.39 ± 5.26
Control troponin after 48 h (ng/ml)36.50 ± 12.95
Troponin increase (ng/ml)32.10 ± 13.09
DOI: https://doi.org/10.2478/jce-2024-0009 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 20 - 26
Submitted on: Dec 20, 2023
|
Accepted on: Mar 8, 2024
|
Published on: Mar 21, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Enes Çon, Ahmet Yılmaz, Hakan Süygün, Mehmet Muştu, Ali Avcı, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.