Clinical observation for acute ST elevation myocardial infarction patients with facilitated percutaneous coronary intervention treatment

Objective To observe the clinic effect,safety and expenses of the ST elevation myocardial infarction(STEMI) patients with facilitated percutaneous coronary intervention(PCI),and to search a new cure pattern for STEMI patients' fasting.Methods Eighty-one STEMI patients were divided into two groups.One group accepted facilitated PCI(n=42),the other group took routine PCI (n=39).Successful rate of infusing infarction related artery(IRA),left ventricular function,major cardical side effect in hospital and expenses were compared between two groups.Results The successful rate of facilitated PCI group was 41/42,while routine PCI group 31/39.Left ventricular ejection fraction after therapy in facilitated PCI group was((53.8)±(6.7))% and that in routine PCI group ((50.2)±(5.2))%(P(0.05)).There were no dead patients in facilitated PCI group,but 6 dead patients in routine PCI group.There were no difference slow flow,re-infarction,stroke between two groups.The expense was RMB $((45 000)±(16 000)) yuan in facilitated PCI group and((53 000)±(12 000)) yuan in routine PCI group(P(0.05)).The hospitalization was((7.3)±(2.4)) days and((13.6)±(5.8)) days,respectively(P(0.05)).Conclusion Facilitated PCI is a more safe,effective and economical treatment than routine PCI,which will be useful for clincal acute myocardial infarction.