[Thrombolytic therapy in acute myocardial infarctions].
Data on all patients with acute myocardial infarction who were treated in Harstad District Hospital in 1995 were analysed. Of the 170 patients, 24% received thrombolytic treatment. Thrombolytics were withheld from 15% of the patients, although there were no contraindications present. Thrombolytics were administered two hours and 18 minutes (mean) after admission to hospital and seven hours after the onset of symptoms. 54% of the patients were admitted to hospital within six hours and 73% within 12 hours. In-hospital delay before the administration of thrombolytics is too long. In Norwegian hospitals this factor has only been analysed to a minor degree. Despite a fairly standardized treatment regimen for thrombolytics, how frequently it is used probably varies from hospital to hospital. There is great potential for improving thrombolytic treatment. The results of our analyses have resulted in an extensive change in routine in our hospital.
Schei
M A
MA
Institutt for samfunnsmedisin, Universitetet i Tromsø.
Hessen
J O
JO
Kildahl-Andersen
O
O
D000328:Adult; D000368:Aged; D000075202:Contraindications; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy* / Q000401:mortality; D010818:Practice Patterns, Physicians'; D011379:Prognosis; D015912:Thrombolytic Therapy; D013997:Time Factors
D005343:Fibrinolytic Agents
Trombolytisk behandling ved akutt hjerteinfarkt.