ST-Segment Resolution on ECG after Streptokinase with Stemi in Diabetics

2021 ◽  
Vol 15 (7) ◽  
pp. 1767-1768
Author(s):  
Saira Fayyaz ◽  
Azher Mehmood Kiani ◽  
Qazi Abdul Saboor ◽  
Husnain Bashir ◽  
Rakesh Bahadur Adhikari ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Case Series ◽  
First Line ◽  
Exclusion Criteria ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
First Line Therapy ◽  
Line Therapy ◽  
St Segment

Objective: observe effectiveness of streptokinase in diabetic cases presenting with ST-segment elevation myocardial infarction Methodology: In this descriptive case series we enrolled 200 cases fulfilling inclusion/exclusion criteria from the emergency department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi. The inj. Streptokinase 1.5 million units diluted in 100 ml of normal saline administered over 1 hour and efficacy was observed. Results: Of 200 diabetic STEMI cases, the effectiveness in terms of ST segment resolution by streptokinase in diabetics presenting with ST-segment elevation myocardial infarction (STEMI) was recorded as 38.5%(n=77). Conclusion: The frequency of effectiveness of streptokinase in diabetic cases for resolution of STEMI is encouraging and it can be used as first line therapy. Keywords: STEMI, Diabetics, Streptokinase, efficacy

Effects of emergency department boarding on mortality in patients with ST-segment elevation myocardial infarction

2020 ◽  
Vol 38 (6) ◽  
pp. 1141-1145
Author(s):  
Jin Hee Jeong ◽  
Dong Hoon Kim ◽  
Tae Yun Kim ◽  
Changwoo Kang ◽  
Soo Hoon Lee ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

scholarly journals Impact of Emergency Medical System Transportation in ST-segment Elevation Myocardial Infarction: A Nationwide Retrospective Study

2020 ◽  
Vol 33 (6) ◽  
pp. 390
Author(s):  
Júlio Gil Pereira ◽  
Luís Abreu ◽  
Hugo Antunes ◽  
Maria Luísa Gonçalves ◽  
Bruno Marmelo ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Retrospective Study ◽  
National Registry ◽  
Medical System ◽  
Emergency Medical System ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Emergency Medical ◽  
St Segment

Introduction: Emergency medical system transportation has been shown to reduce treatment times in ST-segment elevation myocardial infarction. The authors studied the Portuguese National Registry of Acute Coronary Syndromes to determine the nationwide impact of the emergency medical system transportation in the treatment of ST-segment elevation myocardial infarction.Material and Methods: A multicentric, nationwide, retrospective study of ST-segment elevation myocardial infarction patients inserted in the National Registry from 2010 to 2017 was performed. The patients were divided into: Group I, composed of patients transported by emergency medical system, and Group II, patients arriving to the Emergency department by other means.Results: Of the 5702 patients studied, 25.9% were transported via emergency medical system. Rates of emergency medical system activation increased by 17% in the last 7 years. The emergency medical system provided a higher rate of transport to a percutaneous coronary intervention capable centre, of Emergency department bypass, of on-site fibrinolysis, and ensured a 59-minute reduction of the median reperfusion time (p < 0.001). There was no difference in in-hospital mortality.Discussion: In this nationwide cohort, emergency medical system transportation is associated with a reduction in reperfusion times. It provides a higher amount of salvaged myocardium and reduces the incidence of acute heart failure. However, emergency medical system use did not result in lower in-hospital mortality, probably due to confounding factors of higher disease severity and comorbidity.Conclusion: The benefits associated with emergency medical system based transportation of patients with ST-segment elevation myocardial infarction do not translate into lower in-hospital mortality.

scholarly journals Practical Implementation of the Guidelines for Unstable Angina/Non–ST-Segment Elevation Myocardial Infarction in the Emergency Department

Circulation ◽  
2005 ◽  
Vol 111 (20) ◽  
pp. 2699-2710 ◽  
Author(s):  
W. Brian Gibler ◽  
Christopher P. Cannon ◽  
Andra L. Blomkalns ◽  
Douglas M. Char ◽  
Barbara J. Drew ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Unstable Angina ◽  
Practical Implementation ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

scholarly journals Pre-hospital attitudes adopted by patients faced with the symptoms of acute myocardial infarction

2011 ◽  
Vol 19 (5) ◽  
pp. 1080-1087 ◽  
Author(s):  
Viviane de Araújo Gouveia ◽  
Edgar Guimarães Victor ◽  
Sandro Gonçalves de Lima
Keyword(s):  
Myocardial Infarction ◽  
Cardiovascular Disease ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Case Series ◽  
Socioeconomic Conditions ◽  
Chi Square ◽  
St Segment Elevation ◽  
St Segment ◽  
Respiratory Apparatus

This case series aimed to evaluate the behavior adopted by patients during the pre-hospital phase of acute myocardial infarction (AMI). A total of 115 AMI sufferers with ST-segment elevation were evaluated. The chi-square and Fisher's exact tests were applied. The individuals that did not associate the symptoms with cardiovascular disease most often attributed them to the following sources: gastrointestinal (38%), musculoskeletal (29.7%), food and/or medication poisoning (8.5%) and arising from the respiratory apparatus (6.3%). The proportion of major outcomes and of patients that arrived in the emergency department after 12 hours was higher among women, individuals with monthly income of up to one minimum wage, those who used analgesics and did not associate the symptoms with cardiovascular disease. It was found that individuals in unfavorable socioeconomic conditions, who interpreted the symptoms incorrectly, arrived later at the emergency department and had worse intra-hospital outcomes.

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