Implications for acute intervention related to time of hospital arrival in acute myocardial infarction
| Autor: | Zoltan G. Turi, Eugene Braunwald, Robert E. Rude, Corette B. Parker, Thomas L. Robertson, Daniel E. Raabe, Tyler Hartwell, Allan S. Jaffe, Peter Stone, James E. Muller |
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| Rok vydání: | 1986 |
| Předmět: |
Male
Risk Bradycardia Emergency Medical Services medicine.medical_specialty Time Factors Myocardial Infarction Psychological intervention Chest pain Diabetes Complications Sex Factors Diabetes mellitus Internal medicine medicine Emergency medical services Humans Myocardial infarction Heart Failure business.industry Mortality rate Age Factors Middle Aged medicine.disease Heart failure Hypertension Cardiology Female Hypotension medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The American Journal of Cardiology. 58:203-209 |
| ISSN: | 0002-9149 |
| DOI: | 10.1016/0002-9149(86)90047-0 |
| Popis: | The time from onset of symptoms to arrival in the hospital emergency room (ER) was studied in 778 patients randomized into a study of acute myocardial infarction (AMI) size limitation. Patients at relatively high risk of death after AMI (including those with preexisting diabetes mellitus, systemic hypertension or congestive heart failure), women and older patients arrived significantly later in the ER than did patients without these characteristics. A significantly higher mortality rate was observed in patients who arrived late, i.e., those who arrived more than 2 hours after the onset of chest pain, even though patients with hemodynamic compromise (bradycardia, hypotension) tended to arrive earlier. The difference in long-term mortality between those who arrived early (within 2 hours of onset of chest pain) and those who arrived late was accounted for by the baseline differences between these 2 groups. These baseline differences may influence the effects of early interventions in AMI. In addition, these findings have implications for education of high-risk patients who could benefit the most from aggressive early intervention. |
| Databáze: | OpenAIRE |
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