Objective To explore the value of standardized emergency center access in the rescue of elderly patients with acute myocardial infarction. Methods A total of 126 elderly patients with acute myocardial infarction admitted to a hospital in Henan Province from February 2019 to March 2021 were selected as the subjects and assigned to the standardized group（February 2019 to August 2020

n=63） and the conventional group（September 2020 to March 2021

n=63） according to the admission time. Patients in the conventional group received routine emergency procedures nursing

and patients in the standardized group standardized emergency center access nursing. Emergency balloon dilatation time

duration of stay

triage assessment time

and length of hospital stay were compared between the 2 groups. The successful rescue rate was compared between the two groups

and successful rescue was defined as patients with stable vital signs

clear consciousness

and being out of danger.Acute Physiology and Chronic Health Evaluation（APACHE Ⅱ） scores during transport and at admission were compared between the 2 groups.The incidence of complications was compared between the 2 groups.Results There were significant differences in emergency balloon dilatation time

duration of stay

and triage assessment time between the standard group and the conventional group（P<0.05）.In transport

there was no significant difference in APACHE Ⅱ scores between the 2 groups（P>0.05）.After admission

APACHE Ⅱ scores were higher than those in transport in both groups

and the standardized group was lower than the conventional group

with statistically significant differences（P<0.05）.The successful rescue rate in the standard group was 96.83%

which was higher than that in the conventional group（79.37%）

and the difference was statistically significant（P<0.05）.The incidence rate of complications in the standard group was 8.20%

which was lower than that in the conventional group（48.00%）

and the difference was statistically significant（P<0.05）. Conclusion The application of standardized emergency center access in the rescue of elderly patients with acute myocardial infarction can improve the treatment

strengthen the rescue effect and reduce the risk of complications during hospitalization. These benefits justify a wider application of this procedure in clinical practice.