Time Delays in Instituting Thrombolysis in Acute Myocardial Infarction - a Singapore Perspective

Autor: SH Goh, M Tiru
Rok vydání: 2000
Předmět:
Zdroj: Hong Kong Journal of Emergency Medicine. 7:11-15
ISSN: 2309-5407
1024-9079
DOI: 10.1177/102490790000700103
Popis: The reduction of mortality from acute myocardial infarction has been achieved mainly through the use of thrombolysis. In large scale studies, mortality and the extent of myocardial salvage are directly related to how early thrombolysis or reperfusion is instituted. This study was done to highlight the factors resulting in time delays that need to be targeted for change: (a) Pre-hospital delays (recognition of symptoms suggesting an acute myocardial infarction and the presentation to the A&E Department); (b) Delays that occur within the A&E Department; and (c) Delays after leaving the Accident & Emergency Department. We identified the areas contributing to significant delays in each of these areas with a view of proposing that a subgroup of these patients may be identified for a fast track approach in initiating thrombolysis within the Accident & Emergency Department.
Databáze: OpenAIRE