Year : 2020 | Volume
: 21 | Issue : 4 | Page : 256--262
Clinical review: Management of patients with acute ST-elevation myocardial infarction
Fatema Ahmed Ali1, Hasan Altahoo1, Mary Lynch2
1 Department of Medicine, College of Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen, Kingdom of Bahrain
2 Department of Cardiology, Sh. Mohammed Bin Khalifa Cardiac Center, Bahrain Defence Force Royal Medical Services, Kingdom of Bahrain
Aims: The aim was to assess the quality of practice provided to acute ST-elevation myocardial infarction (STEMI) patients at the cardiac center, within a specified time frame and identify possible areas of improvement.
Settings and Design: This is a retrospective standards-based clinical review, including adults diagnosed with acute STEMI between January 1, 2016 and January 1, 2017 of cases admitted and managed at the respective cardiac center.
Subjects and Methods: The study was designed according to recommendations provided by the National Institute for Health and Care Excellence guidelines: “The acute management of myocardial infarction with ST-segment elevation;” alongside, the local standard: door-to-balloon time ≤90 min, adopted from the American Heart Association.
Statistical Analysis Used: Data analysis was done through excel and SPSS for advanced statistical calculations. P < 0.05 was considered to be statically significant.
Results: In total, 277 patients were included in the study. About 72% underwent primary percutaneous coronary intervention with 62 min as median door-to-balloon time. Door-to-balloon time >90 min was significantly higher when patients presented outside official hospital hours (P = 0.039). Transradial route was chosen in 77.7% of the cases.
Conclusions: Practice at the cardiac center was found to show good compliance with the guidelines. However, door-to-balloon time for procedures performed out of official hospital working hours was slightly outside the recommended limit.
Prof. Mary Lynch
Department of Cardiology, Sh. Mohammed Bin Khalifa Cardiac Center, Bahrain Defence Force Royal Medical Services
Kingdom of Bahrain
|How to cite this article:|
Ali FA, Altahoo H, Lynch M. Clinical review: Management of patients with acute ST-elevation myocardial infarction.Heart Views 2020;21:256-262
|How to cite this URL:|
Ali FA, Altahoo H, Lynch M. Clinical review: Management of patients with acute ST-elevation myocardial infarction. Heart Views [serial online] 2020 [cited 2021 Apr 20 ];21:256-262
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2020;volume=21;issue=4;spage=256;epage=262;aulast=Ali;type=0