From admission to surgery, 31 minutes to open up the life channel of myocardial infarction patients

Mondo Health Updated on 2024-01-29

Recently, a patient in Urumqi County was rushed to Urumqi Friendship Hospital for emergency rescue due to acute myocardial infarction, and it took only 31 minutes from admission to operation.

At 11:36 on November 30. Mr. Yi, 46, was sent to Urumqi County People's Hospital by his family for treatment because of chest pain. Six minutes later, the electrocardiogram showed that the patient had an acute myocardial infarction, and the local hospital urgently contacted Luo Xiandao, deputy chief physician in charge of the chest pain center of Urumqi Friendship Hospital. Through ** and remote**, the patient was diagnosed with acute myocardial infarction, and a pack of medicine for myocardial infarction was immediately given to reduce complications and prolong the treatment time.

The patient has been transferred out, please prepare for the Urumqi Friendship Chest Pain Center" At 12:10, as the patient was lifted into the ambulance, a WeChat message instantly mobilized all the staff on duty in the Chest Pain Center of Urumqi Friendship Hospital.

The patient is expected to arrive in 30 minutes, please prepare for the operation at all posts, and do not delay a minute in the process!Deputy Director Luo Xiandao urgently deployed the work.

At 12:40, the ambulance arrived at Urumqi Friendship Hospital, and the medical staff pushed the comatose patient directly into the surgical catheterization laboratory. After 13 minutes, the results of coronary angiography came out: the patient's left coronary artery was blocked by 95%, cardiogenic shock, and his condition was extremely critical. Doctors and nurses first increase the pressure of the patient and implant a "mechanical heart" (IABP) to keep the patient alive.

It is understood that intra-aortic balloon counterpulsation (IABP) is an interventional method for cardiovascular diseases. It is equivalent to placing a "mechanical heart" in the body to assist the heart to pump blood, which can effectively help patients with acute heart failure and cardiogenic shock to pass the dangerous period, and effectively improve the success rate of difficult coronary intervention.

At 13:11, Luo Xiandao led the team to successfully complete the interventional operation. The patient's chest pain symptoms were significantly relieved, his blood pressure rebounded, and his vital signs returned to stable, and he was transferred to the general ward on December 5, and is currently recovering well.

Luo Xiandao said: "The treatment period for myocardial infarction is 120 minutes, and it only takes 31 minutes for the patient to arrive at Urumqi Friendship Hospital and perform the operation. This is the achievement of the Chest Pain Center of our hospital by strengthening multidisciplinary cooperation, improving the quality of personnel, continuously optimizing the treatment process, and strengthening regional collaborative treatment. We will continue to use scientific and advanced concepts and technical services to open up the life channel for chest pain patients as soon as possible and escort them. ”

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