For patients with ST Elevation Myocardial Infarction (STEMI), the treatment of choice is emergency Percutaneous Coronary Intervention (PCI). This treatment is available at Changi General Hospital round the clock for suitable patients.
According to statistics released in April 2018 by National Registry of Disease Office (NRDO), the crude incidence rate of Acute Myocardial Infarction (AMI), also known as heart attack is at 221 per 100,000 population1.
The time interval between patient's arrival at the emergency department to the first device introduction, with aim of restoring perfusion to the coronary artery (also known as Emergency Percutaneous Coronary Intervention- ePCI) is crucial. American Heart Association guidelines recommend that door-to-balloon times (First Medical Contact to device time) should be less than 90 minutes2.
CGH offers round the clock treatment for suitable patients suffering from a heart attack with an average of 92% of the patients receiving reperfusion within 90 min. The median time taken for these patients is at 56 min.
Patients are also offered to enroll in our Cardiac Rehabilitation Program, which comprises of a number of medically supervised exercise sessions to accelerate recovery and return to normal activities. Participation in Cardiac Rehabilitation has been shown by studies to reduce 1 year mortality rates3.
1Singapore Myocardial Infarction Registry Annual Report 2016 (Apr 2018). Retrieved July 16, 2018, from National Registry of Disease Office, https://www.nrdo.gov.sg/publications/ami
2Heartorg. (2016). Heartorg. Retrieved 14 October, 2016, from http://www.heart.org/HEARTORG/Professional/MissionLifelineHomePage/EMS/Recommendations-for-Criteria-for-STEMI-Systems-of-Care_UCM_312070_Article.jsp
3Rauch B, et al. (2014) Short-term comprehensive cardiac rehabilitation after AMI is associated with reduced 1-year mortality: results from the OMEGA study. Eur J Prev Cardiol, 2014 Sep;21(9):1060-9.
2 Simei Street 3,
(65) 6788 8833
(65) 6788 0933
Changi General Hospital (CGH)