Year: 2024
Type: article
Study design: Observational Study
Abstract: Background: The reopening of occluded arteries in myocardial infarction can be achieved through invasive and non-invasive methods.Objectives: This study aimed to determine treatment factors and outcomes comparison in acute myocardial infarction patients.Methods: This cross-sectional and retrospective study examined the hospitalization data of 252 myocardial infarction patients referred to Ayatollah Mousavi Hospital from April 2021 to March 2022.The patient's demographic and clinical data, factors influencing treatment intervention selection, and clinical outcomes were assessed.Data were analyzed using the Chi-square test/Fisher's exact test, multiple logistic regression analysis, and ANOVA in SPSS v.22 software.Results: Primary percutaneous coronary intervention (PPCI) comprised 45.6% of treatments, with thrombolytic therapy comprising 35.3%.Multiple regression analysis revealed that the availability of a 24/7 operational catheterization lab and immediate access to an on-call interventional cardiologist were significant predictors of treatment selection (P< 0.05).The success rate of PPCI was 87.2% and thrombolytic therapy was 58.9%.Outcomes such as hospitalization length, analgesia dose, rehospitalization, and mortality rate over a year showed no significant statistical difference between the PPCI and thrombolytic groups (P>0.05).Conclusion: Access to equipment and specialized manpower is essential for PPCI.There were no complications or clinical outcomes that differed between patients treated with PPCI and thrombolytic therapy.Thrombolytic therapy remains a viable alternative to PPCI when timely intervention is not feasible. Implications for Nursing and Midwifery Preventive Care Thrombotic therapy as an alternative treatment method instead of primary percutaneous coronary intervention. Educating the symptoms of myocardial infarction and the necessity of immediate referral to medical centers or calling the emergency medical service to people in the community in order to receive appropriate treatments for myocardial infarction. Informing people in the community about various treatment methods for myocardial infarction.
Institution: Zanjan University of Medical Sciences
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4406828528