International Journal of Medicine and Data

Objective To compare and analyze the efficacy of elective or emergency PCI in patients with acute ST-segment elevation myocardial infarction (ASTEMI). and to compare the effects of different timing of treatment on prognosis. Methods The included subjects were all patients admitted to the emergency department of our hospital and confirmed to be ASTEMI after examination. The onset date of the patients was between July 2020 and December 2021. After comprehensive consideration of the disease conditions and consultation with the patients family members, the patients received corresponding treatment. Grouped according to different treatment regimens. A total of 50 patients who received emergency PCI surgery within 12 hours of onset were included in the observation group. In addition, 50 patients hospitalized for elective PCI after receiving conventional treatment to prevent ventricular remodeling and related complications were included in the control group.The differences in surgical outcomes and prognosis of patients receiving interventional therapy at different times were compared. Results The incidence of cardiovascular adverse events in patients receiving emergency PCI was significantly reduced in hospital and out of hospital, and the hospital stay was relatively short(P<0.05). Conclusion After ASTEMI patients are diagnosed, they will receive emergency PCI treatment to ensure the surgical effect and improve cardiac function, which can definitely reduce the incidence of short-term and long-term adverse cardiovascular events.

ASTEMI; emergency surgery; elective surgery; adverse cardiovascular events; cardiac function