Evaluation of the transfer parameters in patients who admitted to our hospital with ST elevation myocardial infarction

Acute myocardial infarction (AMI) is a common disease that causes severe morbidity and mortality. Assesment of risk stratification at admission is important for deciding whether medical or interventional therapy is better. The most important step of the STEMI treatment is rapid reperfusion of arteries and it is shown in many studies that, sooner you get reperfusion more you get alive myocardial tissue. We retrospectively evaluated 200 patients (160 males, 40 females) who underwent primary PCI for acute ST-elevation myocardial infarction between January 2010- May 2012. Transfer parameters of symptom to reperfusion treatment, clinical characteristics and laboratory values were recorded. The mean duration of pain (Time from symptom onset to hospital arrival) was 123.1 ± 109.7 minutes, mean door-to-balloon time was 52.1 ± 23.7 minutes.Primary PCI is an effective method in achieving complete revascularization of the infarct-related artery. Successful results not only depend on the experience and equipment of the center, but also on how rapidly reperfusion is achieved. In our study were seen that the mean pain-to-balloon time were more than four hours and patients admitted to emergency departments with their own facility rather than an ambulance. Significantly, the first application made to a PCİ hospital.To remove the negative factors that delay reperfusion time, it is necessary to create transfer and therapy program in local district or all over the country.