Delay in presentation after myocardial infarction
| Autor: | S J Brecker, D J Coltart, A G Heriot |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Time Factors Heart disease medicine.medical_treatment Ambulances Decision Making Myocardial Infarction Chest pain Delayed presentation Fibrinolysis medicine Humans Thrombolytic Therapy Myocardial infarction Aged business.industry General Medicine Thrombolysis Patient Acceptance of Health Care medicine.disease Prognosis United Kingdom Surgery Treatment Outcome Anesthesia medicine.symptom Presentation (obstetrics) Emergencies business Emergency Service Hospital Family Practice Cardiac symptoms Research Article |
| Popis: | Thrombolytic therapy reduces mortality in acute myocardial infarction (AMI), giving maximal benefit with early treatment. In the UK delayed presentation after AMI may reduce the advantages of thrombolysis. To assess this, 103 patients presenting with AMI to two London Hospitals were interviewed to determine the length and cause of delay from onset of chest pain to arrival at hospital. Forty-nine per cent of patients took longer than 2 h to arrive at hospital, and 21% took longer than 4 h. Patients who contacted their general practitioner (GP) had a significantly prolonged time delay (160 mins; 65–730: median; range) compared to those who went directly to hospital by ambulance (82 mins; 15–395; P Only 14% were aware of thrombolysis. Rank correlation confirmed that decision and total delay time were age independent. Delays of this magnitude may compromise the efficiency of thrombolysis. Education should encourage patients with chest pain to seek early attention and in urban areas to attend hospital directly. |
| Databáze: | OpenAIRE |
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