[Is home thrombolysis of myocardial infarct realistic?].
Based on a 19-month experience of intravenous thrombolysis performed at home during the acute phase of myocardial infarction, we feel it is a realistic procedure, since it did not result in too many unnecessary calls: in 648 calls which seemed attributable to a coronary emergency by the Emergency Medical Services, this diagnosis was ruled out in 119 instances (18.4%) and confirmed in 529 instances (81.6%); diagnostic errors were not too frequent: 3.8 p. cent of false positive and 5.8 p. cent of false negative; it was not very hazardous: one death only from cardiogenic shock; it permitted to save time by decreasing by 30 minutes the start of the treatment; it avoided excessive costs by using already established structures.
Bory
M
M
Service de Cardiologie, CHU de la Timone, Marseille.
Bonnet
J L
JL
Dubouloz
F
F
Serradimigni
A
A
D000328:Adult; D000368:Aged; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005069:Evaluation Studies as Topic; D005260:Female; D005602:France; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D015912:Thrombolytic Therapy; D013997:Time Factors
La thrombolyse à domicile de l'infarctus du myocarde est-elle réaliste?