[Prehospital thrombolytic therapy].
The objective of pre-hospital thrombolytic therapy is to reduce the delay between the time of initial contact with a patient with acute myocardial infarction and the administration of thrombolytic therapy. To validate feasibility and utility. Its feasibility has been demonstrated in many pilot studies throughout the world. The utility of the technique is the gain of nearly 60 minutes compared with patients treated on hospital admission; another advantage is the fact that emergency medical teams are alerted to their new medical responsibility. On the other hand, there are no published reports showing a decreased infarct size or mortality when compared with in-hospital thrombolysis. The results of studies currently under way are expected in the near future and should throw new light on the value of this technique. Nevertheless, pre-hospital thrombolysis is only one facet in the improved management of acute myocardial infarction.
Castaigne
A
A
Service de cardiologie, hôpital Henri-Mondor, Créteil.
Saal
J P
JP
Perchet
H
H
D004632:Emergency Medical Services / Q000458:organization & administration*; D006760:Hospitalization; D006801:Humans; D008952:Mobile Health Units; D009203:Myocardial Infarction / Q000188:drug therapy* / Q000401:mortality; D013300:Streptokinase / Q000627:therapeutic use; D015912:Thrombolytic Therapy / Q000379:methods*; D013997:Time Factors
D013300:Streptokinase
Thrombolyse préhospitalière.