901-99 'The 60-Minutes Myocardial Infarction Project': Lower Rate of Diagnostic ECG on Admission, Shorter Prehospital Delay and Increased Door-to-Needle-Time in Patients with Acute Reinfarction
| Autor: | Jochen Senges, Rudolf Schiele, Jörg Rustige, Martin Gottwik, Matthias Arens, Caroline Bergmeier, U. Burczyk, Armin Koch |
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| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
Bundle branch block business.industry Incidence (epidemiology) Time to treatment First myocardial infarction medicine.disease Door to needle time Internal medicine medicine Cardiology In patient cardiovascular diseases Myocardial infarction Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of the American College of Cardiology. 25:29A |
| ISSN: | 0735-1097 |
| DOI: | 10.1016/0735-1097(95)91576-j |
| Popis: | Purpose It is unknown if patients with myocardial reinfarction have a different rate of diagnostic ECG changes compared to patients with first myocardial infarction or if they have a shorter prehospital delay. Besides the evaluation of these questions, differences in time to treatment and intrahospital mortality in both groups are studied. Methods “The 60-Minutes Myocardial Infarction Project” is a multicenter nationwide registry, including 154 hospitals in Germany. During an 8-month period 4710 consecutive patients with proven transmural AMI were enrolled and ECG on admission, prehospital delay (PHD), door-to-needle-time (DNT), and lysis rate (LR) were registered. Results Reinfarction First Myocardial Infarction number of patients 888 3723 diagnostic ECG for AMI 57% 72% bundle branch block 15% 9% prehospital delay 150 min 180 min door-to-needle-time 35 min 30 min mortality within 48 h 11% 7% intrahospital mortality 25% 17% The two groups do not differ in age, gender and lysis rate (48 vs. 50%). Conclusion 1.) The rate of diagnostic ECG on admission is lower for reinfarctions, partly due to a higher incidence of bundle branch block. 2.) Door-to-needle-time is slightly increased as ECG diagnosis is impaired. 3.) Patients with reinfarction appear half an hour earlier in the hospital after the onset of symptoms compared to patients with first myocardial infarction. 4.) Early and total intrahospital mortality are higher with reinfarctions. |
| Databáze: | OpenAIRE |
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