Objective To explore the application effect of key point nursing from the perspective of cluster analysis in preventing complications among patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI).

Methods A total of 97 AMI patients who underwent PCI in the cardiology department of our hospital from March 2022 to October 2023 were selected and divided into control group with 51 patients (March to December 2022) and observation group with 46 patients (January to October 2023) based on their admission time. The control group received routine nursing, while the observation group received key point nursing from the perspective of cluster analysis. The emergency nursing conditions, occurrence of complications during hospitalization, major adverse cardiovascular events (MACE), and satisfaction of patients were compared between the two groups.

Results The door-to-balloon (D2B) time, results of time to myocardial injury markers, and length of hospital stay were shorter in the observation group than those in the control group (P < 0.05). The incidence rates of reperfusion arrhythmia during surgery, total vascular complications after surgery, unplanned extubation, and total MACE within 6 months after surgery were lower in the observation group than those in the control group(P < 0.05). The overall satisfaction rate with nursing in the observation group was 95.65% (44/46), which was higher than 82.35% (42/51) in the control group (P < 0.05).

Conclusion Key point nursing from the perspective of cluster analysis can shorten the rescue time and length of hospital stay for patients undergoing PCI, reduce the incidence of vascular complications and MACE during hospitalization, and improve satisfaction of patients.