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  • Zdravljenje bolnikov z akutnim srčnomišičnim infarktom = Treatment of patients with acute myocardial infarction
    Remškar, Mojca ...
    Background. Since early recognition of symptoms and adequate initial management are crucial for the survival of patients with acute myocardial infarction, we examined pre-hospital treatment and ... corresponding time delays in Ljubljana, Slovenia. Methods. We performed a one-year prospective study. Patients diagnosed with acute myocardial infarction were enrolled into the study. We followed pre-hospital treatment and the total pre-hospital time delay (time from onset of chest pain to the initiation of treatment), the patient time delay (time from onset of chest pain to entry) into the emergencymedical sustem) and the transportation time delay (time from entry into the emergency medical system to admission to the Department for emergencyinternal medicine). Results. Our study demonstarted that less than 25% of patients received pre-hospital treatment with acetylsalicylic acid, nitroglycerine and morphine. Oxygen was administered in 35% of patients. The total pre-hospital time delay was significantly shorter in reperfusion-eligible patients (3.04 vs. 9.16 hours). These differences were accounted for by both shorter patient time (1.50 vs. 6.00 hours) and shorter transport time (1.08 vs. 2.24 hours). Regardless of the clinical presentation of acute myocardial infarction, the pre-hospital time delay was less in patients transported by Mobile emergency unit, predominantly due to shorter transport time (0.66 vs 1.70 hours). The median door-to-needle time was 0.67 hours and the median door-to-balloon time was 1.41 hours. Conclusions. A long patient time delay requires a wide public educational campaign regarding the early recognition of symptoms and proper notification of the emergency medicalservice. Both transport time and pre-hospital treatment could be significantly improved if patients with acute myocardial infarction would enter the pre-hospital medical system by Mobile emergency unit.
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 70, št. 3, mar. 2001, str. 133-137)
    Type of material - article, component part
    Publish date - 2001
    Language - slovenian
    COBISS.SI-ID - 12988121

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