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Early identificatio...
Early identification of acute myocardial infarction and prognosis in relation to mode of transport
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- Herlitz, Johan (author)
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Karlson, BW (author)
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Richter, A (author)
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Liljeqvist, J-Å (author)
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Strömbom, U (author)
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Holmberg, S (author)
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(creator_code:org_t)
- W.B. Saunders Co. 1992
- 1992
- English.
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In: American Journal of Emergency Medicine. - : W.B. Saunders Co.. - 0735-6757 .- 1532-8171. ; 10:5, s. 406-412
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Of 2,840 consecutive patients who were admitted to the emergency department of a Swedish university hospital due to suspected acute myocardial infarction (AMI), only 25% were reached by the mobile coronary care unit (MCCU), and only 4% simultaneously fulfilled traditional criteria for prehospital thrombolysis (ie, had ST-segment elevation on admission electrocardiogram and a delay time of less than 6 hours). In the subset of patients who fulfilled criteria for a confirmed AMI, 31% were reached by an MCCU and 11% fulfilled criteria for prehospital thrombolysis. Among patients with confirmed AMI, the hospital mortality rate was highest in patients transported by standard ambulance (19%) versus 15% in those transported by an MCCU and 8% in those transported by other means. The authors conclude that AMI patients transported by ambulance are high-risk patients for early death. Prehospital thrombolysis might reduce their rate of mortality. However, according to the authors' experience only a minor fraction of patients are available for prehospital thrombolysis.
Publication and Content Type
- ref (subject category)
- art (subject category)
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