| Autor: |
Wachira, Benjamin W., Owuor, Andrew O., Otieno, Harun A. |
| Jazyk: |
angličtina |
| Zdroj: |
African Journal of Emergency Medicine. (3):104-108 |
| ISSN: |
2211-419X |
| DOI: |
10.1016/j.afjem.2013.12.003 |
| Popis: |
IntroductionCurrent practice guidelines emphasize the importance of rapid reperfusion of patients with ST-elevation myocardial infarction (STEMI). The aim of this study was to evaluate the current rate of compliance with evidence-based practice guidelines for the management of STEMI patients at a tertiary hospital in Kenya.MethodsThis was a retrospective chart review. Data on patient characteristics, emergency treatment, and outcomes were collected on adults admitted with a diagnosis of STEMI from January 2012 to February 2013.ResultsData were collected for 45 patient presentations. There were 37 male patients (82%). The mean age was 59.7±3.8 years. Of the 45 patients, 23 were Asian (51%), 18 were Black (40%) and four were Caucasian (9%). Thirty-five patients (78%) presented within 12h of symptom onset. Within 10min of arrival to the hospital, 40 patients (89%) had electrocardiographs performed and 39 patients (87%) were reviewed by a doctor. Medications given on presentation were aspirin (98%), clopidogrel (91%) and anticoagulants (73%). All patients received reperfusion therapy. Twenty-eight patients (62%) received fibrinolytic therapy and 17 patients (38%) had primary percutaneous coronary intervention. Door-to-needle time of |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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