title: [First-aid treatment for acute myocardial infarction. Experience at the San Camillo Hospital of Rome].
abstract: OBJECTIVE
  The aim of the study is to verify: 1) the trustworthiness level of the diagnosis of AMI defined in Emergency Department (ER); 2) the frequency and the effectiveness (length of staying in hospital, mortality rate) of the invasive or not invasive treatment which are implemented in the ER area.
  
  
  METHODS
  We have studied the crowding of the patients suffering from chest pain (CP) who asked the ER for assistance during the year 2000 and that of the patients with AMI diagnosed in ER (diagnosis at the admittance and at the discharge from the hospital, therapeutic procedures, staying in hospital, mortality rate).
  
  
  RESULTS
  The patients suffering from CP have been the 5.4% of all the patients who reached the ER and were admitted to the hospital more than the patients who reached the ER for all the other causes (41.5% versus 22.1%). In 61.7% of the patients affected by AMI the disease was identified by the physicians of the ER; the invasive treatment has been developed in 67.7% of those patients and the not invasive in 32.3% of the same patients. The mean length of the staying in hospital for the patients who have been treated with PTCA was 10.3 days; on the contrary, the same value for the patients treated with thrombolysis was 13.8 days and the difference was significant at the 0.001 level. The mortality rate during the staying in Hospital was 5.9% in the patients treated with PTCA and 13% in the patients treated with thrombolysis but the difference was not significant because of the little number of the dead patients.
  
  
  CONCLUSIONS
  The sensitivity (62%) and the specificity (100%) of the diagnosis of AMI defined in the ER demonstrate the utility of a Cardiologic Service in ER.
authors.affiliation: Servizio di Cardiologia e Pronto Soccorso Cardiologico, Dipartimento Cardiovascolare, Ospedale San Camillo, Azienda Ospedaliera San Camillo-Forlanini, Roma.
authors.forename: Paolo
authors.initials: P
authors.lastname: Salvini
authors.forename: Pietro
authors.initials: P
authors.lastname: Tanzi
authors.forename: Antonio
authors.initials: A
authors.lastname: Terranova
authors.forename: Fiammetta
authors.initials: F
authors.lastname: Albi
authors.forename: Sandro
authors.initials: S
authors.lastname: Petrolati
authors.forename: Federica
authors.initials: F
authors.lastname: Re
authors.forename: Monica
authors.initials: M
authors.lastname: Verde
authors.forename: Claudio
authors.initials: C
authors.lastname: Pozzessere
authors.forename: Angelo
authors.initials: A
authors.lastname: Serio
mesh_terms: D000368:Aged; D005260:Female; D005392:First Aid; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D012384:Rome