{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T06:26:04Z","timestamp":1763447164476,"version":"3.45.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      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                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009156) formed the control group, while those treated after pathway implementation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009168) 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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the control group, the observation group had significantly shorter resuscitation room time and reperfusion time (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), and a higher rescue success rate (94% vs. 79%). By day 3, LVEF improvement was significantly greater in the observation group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). 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%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcvm.2025.1679887","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T06:21:43Z","timestamp":1763446903000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of a fast-track nursing pathway for emergency percutaneous coronary intervention on clinical outcomes in patients with acute myocardial 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