Effect of a fast-track nursing pathway for emergency percutaneous coronary
intervention on clinical outcomes in patients with acute myocardial infarction
#MMPMID41341295
Bai CY
; Yang Y
; Xiao HY
; Wang J
; Xu KY
Front Cardiovasc Med
2025[]; 12
(?): 1679887
PMID41341295
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BACKGROUND: Acute myocardial infarction (AMI) requires prompt revascularization
to optimize outcomes. This study aimed to evaluate the effect of a structured
fast-track nursing pathway on clinical outcomes in patients undergoing emergency
percutaneous coronary intervention (PCI). METHODS: This retrospective cohort
study included 324 AMI patients admitted through the emergency department between
May 2023 and May 2025. Patients treated prior to the implementation of a
fast-track nursing pathway (n?=?156) formed the control group, while those
treated after pathway implementation (n?=?168) formed the observation group. The
fast-track pathway included dedicated nursing teams, standardized
triage-to-catheterization workflows, expedited monitoring and preparation
procedures, and structured patient-family education. Clinical outcomes assessed
included time to reperfusion, rescue success rate, left ventricular function
[left ventricular ejection fraction (LVEF), left ventricular end-systolic volume
(LVESV), and left ventricular end-diastolic volume (LVEDV)], incidence of adverse
events, and patient satisfaction. RESULTS: Compared with the control group, the
observation group had significantly shorter resuscitation room time and
reperfusion time (p?0.001), and a higher rescue success rate (94% vs. 79%). By
day 3, LVEF improvement was significantly greater in the observation group
(p?0.001). There were no significant differences in LVESV, LVEDV, or adverse
event incidence between groups. The observation group reported higher total
satisfaction (96.4% vs. 80.1%, p?0.001). CONCLUSIONS: The fast-track nursing
pathway significantly enhanced emergency care efficiency, improved early cardiac
recovery, and increased satisfaction without compromising patient safety. These
findings support broader adoption of nurse-led process innovations in AMI care.