Influence of Chest Pain Center on the Treatment of Acute Coronary Syndrome

Accession number;05A0562674
Title;Influence of Chest Pain Center on the Treatment of Acute Coronary Syndrome
Author; YUASA FUMIO (Kansaiidai Shinzokekkanbyose Naika) YUYAMA KEISUKE (Kansaiidai Shinzokekkanbyose Naika) SUTANI YASUO (Kansaiidai Shinzokekkanbyose Naika) MOTOHIRO MASAYUKI (Kansaiidai Shinzokekkanbyose Naika) IWASAKI MASAYOSHI (Kansaiidai Shinzokekkanbyose Naika) KAWAMURA AKIHIRO (Kansaiidai Shinzokekkanbyose Naika) YO MASUE (Kansaiidai Shinzokekkanbyose Naika) IWASAKA TOSHIJI (Kansaiidai Shinzokekkanbyose Naika)
Journal Title;Japanese Journal of Intensive Care Medicine
Journal Code:Z0581B
ISSN:0389-1194
VOL.29;NO.4;PAGE.301-305(2005)
Figure&Table&Reference;FIG.5, REF.6
Pub. Country;Japan
Language;Japanese
Abstract;A coronary pain center (CPC) was established in the emergency department of our hospital and its influence on the treatment of acute coronary syndrome was evaluated. The subjects were 48 consecutive patients with AMI who underwent successful primary angioplasty for the occluded artery within 12 hours after hospital admission. The patients were divided into 2 groups according to the presence (group A) or absence (group B) of a CPC at the time of admission. Clinical characteristics, the time from beginning of pain to hospital admission (prehospital ischemic time) and the time from admission to the first ballon inflation (hospital ischemic time) were compared between the 2 groups. Moreover, questionnaires were sent to paramedics about the utility of CPC. Group A increased in number year by year. Prehospital ischemic time and hospital ischemic time were shorter in group A compared with those in group B (respectively, p<0.05). Mortality of AMI decreased significantly in group A. Moreover, a CPC raised the morale of paramedics. It is concluded that a CPC located in the emergency department is effective for patients with AMI to receive appropriate treatments. (author abst.)