Can time delay be shortened in the treatment of acute myocardial infarction?-Experience from Korea acute myocardial infarction registry

급성 심근경색증 환자에서 치료 시간 지연을 줄일 수 있는가?- 한국인 급성 심근경색증 등록 연구의 경험 -

Jeong, Myung-Ho
정명호

  • Published : 20100500

Abstract

Time delay between medial contact and treatment in symptomatic patients with acute myocardial infarction (AMI) is the most important factor in the prediction of short and long-term mortality. The incidences of AMI has been increased in Korea rapidly. According to Korea Acute Myocardial Infarction Registry (KAMIR), pre-hospital delay is longer in Korean patients compared with Western patients, especially in patients with non-ST elevation myocardial infarction and in elderly female patients. Prompt seeking medical care in patients with suspected symptom of AMI can be achieved through patient and patient's family education, active transportation system of ambulance, and good cooperations of regional emergency centers. Shortening time delay in treatment of AMI will save patient's life and reduce medical costs in the future, especially in Korea.

Keywords

References

  1. Jeong MH. Korean registry of acute myocardial infarction. Korean Circulation J 38: I3-I8, 2008
  2. Yoon YE, Rivera JJ, Kwon DA, Chae IH, Jeong MH, Rha SW, Blumenthal RS, Nasir K, Chang HJ; other Korea Acute Myocardial Infarction Registry Investigators. National Cholesterol Education Panel III guidelines performance role in preventing myocardial infarction in a large cohort without a history of coronary artery disease: Korea Acute Myocardial Infarction Registry study. Prev Cardiol 12:109-113, 2009 https://doi.org/10.1111/j.1751-7141.2009.00030.x
  3. Kim JA, Jeong JO, Ahn KT, Park HS, Jang WI, Kim MS, Kim JH, Park JH, Lee JH, Choi SW, Seong IW. Time factors in patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Korean J Med 78:586-594, 2010
  4. Hwang SY, Park EH, Shin ES, Jeong MH. Comparison of factors associated with atypical symptoms in younger and older patients with acute coronary syndromes. J Korean Med Sci 24:789-794, 2009 https://doi.org/10.3346/jkms.2009.24.5.789
  5. Spencer FA, Fox KA, Brieger D, Steg PG, Gurfinkel E, Dedrick R, Gore JM. Prehospital Delay in Patients With Acute Coronary Syndromes (from the Global Registry of Acute Coronary Events 'GRACE'. Goldberg RJ, Am J Cardiol 103:598-603, 2009 https://doi.org/10.1016/j.amjcard.2008.10.038
  6. Henriksson C, Larsson M, Arnetz J, Berglin-Jarlöv M, Herlitz J, Karlsson JE, Svensson L, Thuresson M, Zedigh C, Wernroth L, Lindahl B. Knowledge and attitudes toward seeking medical care for AMI-symptoms. Int J Cardiol 2009 Oct 22. 'Epub ahead of print' https://doi.org/10.1016/j.ijcard.2009.08.019
  7. Sari I, Acar Z, Ozer O, Erer B, Tekbaş E, Uçer E, Genç A, Davutoğlu V, Aksoy M. Factors associated with prolonged prehospital delay in patients with acute myocardial infarction. Turk Kardiyol Dern Ars 36:156-162, 2008
  8. Lee SR, Jeong MH, Ahn YK, Chae SC, Hur SH, Kim YJ, Seong IW, Chae JK, Hong TJ, Rhew JY, Cho MC, Bae JH, Rha SW, Kim CJ, Jang YS, Park SJ; Korea Acute Myocardial Infarction Registry Investigators. Clinical safety of drug-eluting stents in the Korea acute myocardial infarction registry. Circ J 72:392-398, 2008 https://doi.org/10.1253/circj.72.392
  9. Chen KY, Rha SW, Li YJ, Poddar KL, Jin Z, Minami Y, Wang L, Kim EJ, Park CG, Seo HS, Oh DJ, Jeong MH, Ahn YK, Hong TJ, Kim YJ, Hur SH, Seong IW, Chae JK, Cho MC, Bae JH, Choi DH, Jang YS, Chae IH, Kim CJ, Yoon JH, Chung WS, Seung KB, Park SJ; Korea Acute Myocardial Infarction Registry Investigators. Triple versus dual antiplatelet therapy in patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Circulation 119:3207-3214, 2009 https://doi.org/10.1161/CIRCULATIONAHA.108.822791
  10. Khraim FM, Carey MG. Predictors of pre-hospital delay among patients with acute myocardial infarction. Patient Educ Couns 75:155-161, 2009 https://doi.org/10.1016/j.pec.2008.09.019