[Short-term clinical effects of integrative Chinese and Western medical treatment through "green track" in treating acute myocardial infarction].
OBJECTIVE
To comparatively study the short-term clinical effects of integrative Chinese and Western medical treatment (ICWM) on acute myocardial infarction (AMI) through "Green Track".


METHODS
In the 75 patients with AMI enrolled in the study, 42 were hospitalized after (regarding as Group A) and the other 33 hospitalized before the opening of "Green Track" (regarding as Group B). All of them received the same treatment including primary percutaneous coronary intervention (PCI) and followed with Chinese medicines mainly for strengthening vital-qi. The time of symptom-onset-to-door (SOTD), door-to-consult (DTC), door-to-lab (DTL) and door-to-balloon (DTB), the duration and expense of hospitalization, and the incidence of major adverse cardiac events (MACE) occurred in one month after PCI between the two groups were compared.


RESULTS
DTC, DTL and DTB in Group A were shorter than those in Group B respectively (P < 0.01). The duration of hospitalization was 7.40 days in group A and 11.83 days in group B, and the expense was RMB 51 384.75 yuan in group A and RMB 61 040.67 yuan in group B, showing a significant difference between groups (P= 0.004, P = 0.022); during the one-month follow-up, no MACE occurred in group A but 5 cases (15%) occurred in group B, with significant difference between them (P = 0.032).


CONCLUSIONS
The opening of "Green Track" and ICWM treatment displays a satisfactory short-term clinical effect on AMI, it could reduce the duration and expense of hospitalization and decrease the incidence of MACE occurred after PCI.
Zhang
Min-zhou
MZ
The Second Affiliated Hospital, Guangzhou University of TCM, Guangzhou. minzhouzhang@yahoo.com.cn
Zou
Xu
X
Wang
Lei
L
D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D010346:Patient Care Management / Q000379:methods*; D008517:Phytotherapy; D013997:Time Factors; D016896:Treatment Outcome
D004365:Drugs, Chinese Herbal