Author/Editor		Štajer, Dušan; Tadel, Špela; Ažman, Katja; Bručan, Andrej; Aplenc, Primož; Zidar, Nina; Horvat, Matija
Title		Zdravljenje bolnika z akutnim srčnim infarktom v Ljubljani - kaj smo dosegli v zadnjem letu in kje so naše pomanjkljivosti?
Translated title		Treatment of patients with acute myocardial infarction in Ljubljana in last year - our achievements and disadvantages
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 4. Zbornik 5. mednarodni simpozij o urgentni medicini; 1998 jun 17-20; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1998
Volume		str. 227-37
Language		slo
Abstract		Restoration of blood flow through the occluded coronary artery (reperfusion) improves survival and quality of life in patients with acute myocardial infarction (AMI). The effect of reperfusion depends on the duration of the preceding occlusion and quality of blood flow through the reperfused coronary artery. The aim of our analysis was to assess the time that elapses between the onset of AMI and treatment with reperfusion. We analysed the effect of treatment with percutaneous transluminal coronary angioplasty (PTCA) and thrombolysis with recombinant tissue plasminogen activator (TPA) on survival of our patients with AMI. Between )anuary 1st,1997 and March 31,1998, 569 patients with AMI were treated in our Intensive care unit. Mean time between onset of symptoms and admission to the intensive care unit was 5 hours (median; 25 - 75% range: 2.6 -10 hours) and was mainly due to a long time to presentation of the patients. Forty-six % of the patients received thrombolytic treatment, among them only 20% received thrombolysis within 30 minutes after arrival. During the introduction of PTCA and thrombolysis with TPA in the treatment of AMI, the mortality was decreasing, but remained high (16.2% in 1997), partly due to a selection of patients with AMI admitted to our intensive care department. In future, efforts should be aimed to the reduction of the time to presentation of patients with AMI and to increase the availability of emergency cardiac catheterisation.
Descriptors		MYOCARDIAL INFARCTION ACUTE DISEASE EMERGENCY SERVICE, HOSPITAL ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY ALTEPLASE