Registration of myocardial infarction in the city of Göteborg, Sweden

1975 ◽  
Vol 28 (3) ◽  
pp. 173-186 ◽  
Author(s):  
Dag Elmfeldt ◽  
Lars Wilhelmsen ◽  
Gösta Tibblin ◽  
J.Anders Vedin ◽  
Claes-E Wilhelmsson ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
The City

scholarly journals Impact of COVID-19 pandemic lockdown on myocardial infarction care

2021 ◽  
Author(s):  
Timo Schmitz ◽  
Christa Meisinger ◽  
Inge Kirchberger ◽  
Christian Thilo ◽  
Ute Amann ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hot Spot ◽  
Population Based ◽  
Downward Trend ◽  
German Model ◽  
Model Region ◽  
The Impact ◽  
The City

AbstractThe aim of this study was to evaluate the impact of the COVID-19 pandemic lockdown on acute myocardial infarction (AMI) care, and to identify underlying stressors in the German model region for complete AMI registration. The analysis was based on data from the population-based KORA Myocardial Infarction Registry located in the region of Augsburg, Germany. All cases of AMI (n = 210) admitted to one of four hospitals in the city of Augsburg or the county of Augsburg from February 10th, 2020, to May 19, 2020, were included. Patients were divided into three groups, namely pre-lockdown, strict lockdown, and attenuated lockdown period. An additional survey was conducted asking the patients for stress and fears in the 4 weeks prior to their AMI. The AMI rate declined by 44% in the strict lockdown period; in the attenuated lockdown period the rate was 17% lower compared to the pre-lockdown period. The downward trend in AMI rates during lockdown was seen in STEMI and NSTEMI patients, and independent of sex and age. The door-to-device time decreased by 70–80% in the lockdown-periods. In the time prior to the infarction, patients felt stressed mainly due to fear of infection with Sars-CoV-2 and less because of the restrictions and consequences of the lockdown. A strict lockdown due to the Covid-19 pandemic had a marked impact on AMI care even in a non-hot-spot region with relatively few cases of COVID-19. Fear of infection with the virus is presumably the main reason for the drop in hospitalizations due to AMI.

P1747Reducing the delay from first medical contact to reperfusion in patients with acute myocardial infarction in metropolitan and adjacent rural areas: data from a regional myocardial infarction registry

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
M Stockburger ◽  
L Bruch ◽  
I Jacob ◽  
A Kuehne ◽  
H H Minden ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Symptom Onset ◽  
Rural Areas ◽  
Intervention Program ◽  
Hospital Treatment ◽  
Optimal Care ◽  
Treatment Delays ◽  
Learning Platform ◽  
Rural Sites ◽  
The City

Abstract Background Time from symptom onset to reperfusion in STEMI patients has been described to depend on a fast and valid pre-hospital STEMI diagnosis which not only decreases pre-hospital, but also in-hospital treatment delays. A publicly funded, prospective joint intervention program (QS-Notfall) has been initiated within our regional myocardial infarction (MI) registry (B2HIR) between hospitals and emergency medical services (EMS). The objective of the program is to reduce care delays of MI patients by supporting emergency care personnel in diagnosing STEMI trough real-time telemedical ECG counselling and by introducing a respective e-learning platform: “STEMI recognition made easy!” Methods Comprehensive baseline data on pre-hospital and in-hospital care have been collected from EMS and hospital records of all 1927 STEMI diagnosed patients with symptom onset <24 hours at 24 hospitals (with metropolitan and rural location) in 2016. The dataset reported here delineates the situation before the implementation of systematic ECG-related interventions. Results Pre-hospital phase: Mode of hospital admission of STEMI patients comprised physician-escorted EMS (60%), EMS w/o an escorting physician (10%) in the city, referral by a primary care physician (10%), and self-presentation to the emergency department (14%). Some patients were primarily admitted to a non-PCI-capable hospital and underwent secondary transfer to a PCI-capable hospital. The respective percentages were found to differ between the metropolitan (4%) and rural areas (17%), Treatment delays Time from symptom onset to arrival of the EMS took 33min (median) in the city and 38 min in rural areas. Time between EMS arrival and ECG recording was 16 min and did not differ between metropolitan and rural sites. The delay from ECG recording to arrival at the hospital was 32 min in the city and 44 min at rural sites. Door to balloon time was similar (63 min) at both regions. Time delay from symptom onset to reperfusion for STEMI patients without physician escorted EMS was up to 370 min and differed according to the admission mode. Shortest care Patients, who alarmed the EMS and were cared for by physician escorted EMS, were brought to a PCI-capable hospital, and were directly admitted to the cath-lab, bypassing the emergency room, attained a delay from symptom onset to ECG recording of 48 min in the city and 37 min at rural areas. The delay from ECG recording to reperfusion was 67 min at urban sites and 77 min at rural sites in these fastest-treated patients. At metropolitan and rural sites 18,5% and 11% of patients belonged to this group, respectively. Conclusion This pre-interventional baseline dataset shows that guideline-prescribed care delays are attainable for patients with acute MI. But the proportion of patients with optimal care delays is small and needs to be increased considerably, which is the objective of our ongoing joint intervention QS-Notfall program. Acknowledgement/Funding Innovation Fonds, Ministry of Health, Germany

scholarly journals Percepção do enfermeiro frente ao paciente com suspeita de infarto agudo do miocárdio

2020 ◽  
Vol 10 (30) ◽  
pp. 38-44
Author(s):  
Anderson Leonel Ribeiro Mathias ◽  
Elaine Freitas da Cruz Rocha ◽  
Luiz Augusto Silva ◽  
Camila Zilli Palmeiro Fedalto ◽  
Alexis Pereira da Silva
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Exploratory Study ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
Professional Autonomy ◽  
The Face ◽  
Qualitative Descriptive ◽  
The City ◽  
Suspected Acute Myocardial Infarction

O estudo teve como objetivo identificar a percepção da enfermeira frente ao atendimento ao paciente com suspeita de Infarto Agudo do Miocárdio (IAM). Trata-se de um estudo qualitativo, descritivo e exploratório, realizado na Unidade de Pronto Atendimento do município de Pedro Leopoldo (MG).  Fizeram parte do estudo onze enfermeiros. Emergiram categorias empíricas “A percepção do enfermeiro sobre o reconhecimento do paciente com suspeita de IAM” e “Fatores que interferem na atuação do enfermeiro durante o atendimento ao paciente com suspeita de IAM”. Concluímos que os enfermeiros possuem percepção quanto à importância do reconhecimento precoce dos sinais e sintomas dos pacientes com suspeita de IAM. No entanto, encontram barreiras para realizar esse atendimento. É necessário que se mantenham na busca por capacitação e atualização para continuarem com essa autonomia profissional frente ao paciente com suspeita de IAM, mas espera-se que investimentos sejam feitos pela instituição, visando à melhoria no funcionamento do serviço.Descritores: Infarto Agudo do Miocárdio, Enfermeiro, Assistência. Perception of nurse in front of patient with suspected acute myocardial infarctionAbstract: The study aimed to identify the nurse's perception of the care provided to patients with suspected acute myocardial infarction (AMI). This is a qualitative, descriptive and exploratory study, carried out at the Emergency Care Unit in the city of Pedro Leopoldo (MG). Eleven nurses took part in the study. Empirical categories emerged: “The nurse's perception about the recognition of the patient with suspected AMI” and “Factors that interfere with the nurse's performance during the care of the patient with suspected AMI”. We conclude that nurses are aware of the importance of early recognition of signs and symptoms of patients with suspected AMI. However, they encounter barriers to perform this service. It is necessary to remain in the search for training and updating to continue with this professional autonomy in the face of patients with suspected AMI, but investments are expected to be made by the institution, aiming at improving the service's functioning.Descriptors: Acute Myocardial Infarction, Nurse, Care. Percepción de enfermero delante de pacientes miocardios agudos sospechosoResumen: El estudio tuvo como objetivo identificar la percepción de la enfermera de la atención brindada a los pacientes con sospecha de infarto agudo de miocardio (IAM). Este es un estudio cualitativo, descriptivo y exploratorio, realizado en la Unidad de Atención de Emergencia en la ciudad de Pedro Leopoldo (MG). Once enfermeras participaron en el estudio. Surgieron categorías empíricas: "La percepción de lo enfermero sobre el reconocimiento del paciente con sospecha de IAM" y "Factores que interfieren con el desempeño de la enfermera durante la atención del paciente con sospecha de IAM". Concluimos que los enfermeros son conscientes de la importancia del reconocimiento temprano de los signos y síntomas de pacientes con sospecha de IAM. Sin embargo, encuentran barreras para realizar este servicio. Es necesario permanecer en la búsqueda de capacitación y actualización para continuar con esta autonomía profesional frente a pacientes con sospecha de IAM, pero se espera que la institución realice inversiones, con el objetivo de mejorar el funcionamiento del servicio.Descriptores: Infarto Agudo del Miocardio, Enfermero, Asistencia.

scholarly journals Epidemiological Study on Acute Myocardial Infarction in the City of Pigüé

2015 ◽  
Vol 83 (4) ◽  
pp. 337-340
Author(s):  
Alberto Vergnes ◽  
Walter Monterrubianesi ◽  
Mariano Sequeira ◽  
Julieta Arduin ◽  
Gladys Sadone ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Epidemiological Study ◽  
The City

scholarly journals Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state

2003 ◽  
Vol 80 (6) ◽  
pp. 614-620 ◽  
Author(s):  
Demóstenes Gonçalves Lima Ribeiro ◽  
Pedro José Negreiros de Andrade ◽  
José Nogueira Paes Júnior ◽  
Lurildo Ribeiro Saraiva
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Public Hospital ◽  
Predictors Of Mortality ◽  
The City

scholarly journals Features of psychological status in acute myocardial infarction in women and men

2020 ◽  
pp. 54-62
Author(s):  
Tatiana O. Nikolaeva ◽  
Viktor V. Anikin ◽  
Olga A. Izvarina ◽  
Anna A. Sedova
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Psychological Status ◽  
Noticeable Increase ◽  
Personality Research ◽  
Male Patients ◽  
The Individual ◽  
The City

Changes in psychological status undoubtedly have a great impact on the development and course of myocardial infarction (MI). Objective - to study changes in the psychological status in women with acute myocardial infarction (AMI) in comparison with male patients and the reflection of these changes on the quality of life. Materials and methods. A single-stage observational study was performed in the city hospitals of Tver. 120 women with AMI aged 36-74 years and 50 men with AMI aged 37-72 were examined. The main group (women with AMI) was divided into two subgroups: the first - patients under 60 years of age, the second - 60 years and older. The study of psychological characteristics of the individual was carried out using the abbreviated multifactor questionnaire for personality research (the so called “Mini-Mult” or “SMOL”), the personality questionnaire of the Bekhterev Institute (the so called “LOBI”), and the methodology for assessing the quality of life of a patient (QOL) according to V.P. Zaitsev. Results. In women aged 60 years and older, an increase in the profile of pitches on all scales was detected. The most noticeable increase in indicators was observed on the scales of the neurotic triad (1st, 2nd, and 3rd) and the 6th Mini-Mult scale. Analysis of the LOBI test revealed that the level of anxiety, hypochondriac, sensitive, neurasthenic, dysphoric and melancholic types of attitude to the disease prevailed in women, with the greatest severity of changes in the group of women under 60 years of age. In the block of interpsychic orientation, the most significant increase was in the sensitive type of attitude to the disease, which prevailed in both groups of women compared to men. The total indicator of "quality of life" was reduced in all the examined groups, and this decrease was most pronounced in older women. Conclusion. Women with AMI have more pronounced changes in their personal and emotional status than men. This is manifested in an increase in hypochondriac, depressive, emotionally labile symptoms; anxiety, hypochondriac, neurasthenic types of response to the disease and a decrease in the "quality of life".

scholarly journals Features of gouty arthritis and comorbid conditions in it — data from the city register of Saint Petersburg for 2000–2019

2020 ◽  
Vol 4 (8) ◽  
pp. 475-482
Author(s):  
A.Yu. Fonturenko ◽  
◽  
R.A. Bashkinov ◽  
V.I. Mazurov ◽  
I.Z. Gaidukova ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Type 2 Diabetes ◽  
Acute Myocardial Infarction ◽  
Uric Acid ◽  
Gouty Arthritis ◽  
Comorbid Conditions ◽  
Saint Petersburg ◽  
Wide Range ◽  
The City

Aim: To study of the features of the course of gout and the occurrence of comorbid conditions in patients with gouty arthritis for the period from 2000 to 2019.Patients and Methods: Based on data from the Saint Petersburg city register of gout and asymptomatic hyperuricemia for the period from 2000 to 2019, formed on the basis of the GALENOS cloud electronic data storage system (© OOO Techlab), an analysis of the clinical course of gouty arthritis and the prevalence of comorbid conditions was performed.Results: This study includes the results of a survey of 1,725 patients. The average follow-up time for patients was 4.85±3.36 (1–17) years. In the studied patients, chronic forms of gouty arthritis prevailed (exacerbation of chronic arthritis — 1198 (69.45%) patients, the presence of tofuses — in 522 (30.26%) patients. The frequency of comorbid conditions such as: arterial hypertension, acute myocardial infarction, tension angina, pulmonary embolism, cardiomyopathy, chronic heart failure, transient ischemic attack, acute cerebrovascular accident in history, chronic obstructive pulmonary disease, peptic ulcer disease of various localization, chronic pancreatitis, overweight or obesity, type 2 diabetes mellitus, chronic pyelonephritis, urolithiasis and chronic kidney disease significantly exceeded the population (p≤0.05). Elevated uric acid levels were observed in 91.42% of patients with type 2 diabetes, 93.86% with hypertension, 94.33% with nephropathy, 92.93% with urolithiasis, 97.75% with acute myocardial infarction and 93.96% with overweight /obesity. Patients received a wide range of medications for both relieving acute GA and normalizing UA levels, and for the treatment of comorbid conditions.Conclusions: Patients with gouty arthritis have a high incidence of comorbid conditions, greater than in the population, the severity of which directly depends on the increase in the level of uric acid.KEYWORDS: gouty arthritis, gout, tophus, comorbidity, uric acid, hyperuricemia.FOR CITATION: Fonturenko A.Yu., Bashkinov R.A., Mazurov V.I. et al. Features of gouty arthritis and comorbid conditions in it — data from the city register of Saint Petersburg for 2000–2019. Russian Medical Inquiry. 2020;4(8):475–482. DOI: 10.32364/2587-6821-2020-4-8-475-482.

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