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THROMBOLYTIC THERAPY IN ACUTE MYOCARDIAL INFARCTION: THE SCOPE IN A DISTRICT GENERAL HOSPITAL
| Content Provider | Scilit |
|---|---|
| Author | Jagger, J. |
| Editor | Murray, R. G. Davies, M. K. Littler, W. A. |
| Copyright Year | 1987 |
| Description | Despite the interest in thrombolytic therapy in acute’ myocardial infarction, it has been reported.that only a small minority of patients considered for thrombloysis would be suitable. .To determine the demand for such therapy in a District General Hospital, data were collected for patients admitted with chest pain to our Coronary Care Unit over a six month period. Of 197 patients admitted with chest pain 131 patients (67%) were proven to have acute myocardial infarction. Criteria for thrombolytic therapy included presentation within six hours of the onset of symptoms, ST elevation ≥ 0.2 mV in 2 or more ECG leads and age ≤ 70 years. Sixty-seven (51%) of the 131 patients with subsequently proven acute myocardial infarction were eligible for thrombolysis. Criteria for thrombolysis were not fulfilled in 41 patients with acute myocardial infarction; 17 (13%) presented later than six hours, 15 (12%) failed to meet the ECG criteria and 9 (7%) were over 70 years. A further 12 (9%) patients were excluded for cardiogenic shock, patients had peptic ulcers, one patient sustained a recent acute myocardial infarction 2 weeks previously and data from 8 patients were lost.These results suggest that around 50% of patients with acute myocardial infarction and 34% of all patients presenting with chest pain would be suitable for thrombolytic therapy. These data do not support the view that such treatment may only be applicable to a small number of patients with acute myocardial infarction. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1642985.pdf |
| DOI | 10.1055/s-0038-1642985 |
| Issue Number | 01 |
| Volume Number | 58 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 1987-07-01 |
| Access Restriction | Open |
| Subject Keyword | Peripheral Vascular Disease Acute Myocardial Infarction |
| Content Type | Text |
| Resource Type | Article |
