The effect of a mobile coronary care unit on mortality in patients with acute myocardial infarction or cardiac arrest outside hospital

1982 ◽  
Vol 3 (6) ◽  
pp. 504-515 ◽  
Author(s):  
B. WENNERBLOM ◽  
S. HOLMBERG ◽  
H. WEDEL
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiac Arrest ◽  
Coronary Care Unit ◽  
Coronary Care

Effect of a Coronary Care Unit on Mortality from Acute Myocardial Infarction

1979 ◽  
Vol 24 (2) ◽  
pp. 121-126
Author(s):  
J. S. A. Sawers ◽  
D. Q. Borsey ◽  
A. A. H. Lawson
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiac Arrest ◽  
Coronary Care Unit ◽  
No Reduction ◽  
Current Status ◽  
General Hospitals ◽  
Coronary Care ◽  
The Difference

The mortality from acute myocardial infarction was compared for 2 years before the introduction of a coronary care unit (C.C.U.), and three and a half years after. The difference was not significant statistically ( 18% before, and 15% after). There was no reduction in the incidence of cardiac arrest in the C.C.U. period, but resuscitation from cardiac arrest was more successful. The results are considered in the light of previous studies, and the current status of coronary care in district general hospitals is discussed.

Management of Ventricular Fibrillation during Acute Myocardial Infarction

1984 ◽  
Vol 23 (04) ◽  
pp. 209-213
Author(s):  
B. J. Northover
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Fibrillation ◽  
Coronary Care Unit ◽  
Patient Survival ◽  
Left Ventricular ◽  
Ventricular Failure ◽  
Before And After ◽  
Coronary Care ◽  
The Creation

SummaryAnalysis of electrocardiograms tape-recorded from patients admitted to hospital with acute myocardial infarction revealed that the pattern of ventricular extrasystolic activity was not significantly different among those who subsequently developed ventricular fibrillation and those who did not. Episodes of ventricular fibrillation occurred predominantly within 4 hours from the start of infarction. Patients were 3 times less likely to survive an episode of ventricular fibrillation if they also had left ventricular failure than if this feature was absent. Management of episodes of ventricular fibrillation was compared in patients before and after the creation of a specially staffed and equipped coronary care unit. The success of electric shock as a treatment for ventricular fibrillation was similar before and after the creation of the coronary care unit. An attempt was made to determine which features in the management of ventricular fibrillation in this and in previously published series were associated with patient survival.

scholarly journals Early Diagnosis of Acute Myocardial Infarction: CK-MB and Myoglobin Compared

1993 ◽  
Vol 30 (5) ◽  
pp. 435-438 ◽  
Author(s):  
W S Kilpatrick ◽  
D Wosornu ◽  
J B McGuinness ◽  
A C A Glen
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Care Unit ◽  
Rapid Diagnosis ◽  
Blood Samples ◽  
Care Utilisation ◽  
Creatine Kinase Mb ◽  
Coronary Care ◽  
Selection Of Patients ◽  
Selection Of

We have measured changes in plasma concentration of creatine kinase MB (CK-MB) and myoglobin in 50 patients admitted to the Coronary Care Unit with chest pain of presumed cardiac origin. Eight serial blood samples were obtained in the 6 h period following admission and both CK-MB and myoglobin concentrations were measured. We compared the performance of single values of both tests. Myoglobin concentration, in the coronary care population studied, proved to be as specific as CK-MB concentration (92–6% in both cases) but with sensitivity of 100% being achieved 1 · 5 h post admission rather than 4 h post admission in the case of CK-MB. On this evidence, measurement of plasma myoglobin could prove useful in the rapid diagnosis of myocardial infarction with consequent effects on optimal Coronary Care utilisation and selection of patients for thrombolytic therapy.

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