[Time costs cardiac muscle tissue--prehospital therapy of acute myocardial infarct--a case report].
Symptoms of an acute myocardial infarction are a common reason for calling the emergency physician. Pre-hospital mortality caused by cardiac infarction is constantly high. The main potential for decreasing infarction mortality lies in the pre-hospital period. The problems and prospects of treatment in the early period are described in the case of a 73-year-old patient with an acute anterior infarction. The diagnostic and therapeutic approach is shown and discussed in this concrete case, taking into consideration the guidelines for diagnostics and therapy of acute myocardial infarction in the pre-hospital period of the German Society for Cardiology. A particular focus is the management of pre-hospital thrombolysis, the preconditions, realization and risks of which are described. In this context, the experience and competence of the emergency physician is prerequisite for the exact diagnosis and therapy. Furthermore, the importance of a smooth transition from pre-hospital therapy to intensive care is emphasized.
Eschenburg
G
G
Klinik für Anaesthesiologie und operative Intensivtherapie, Klinikums, Ernst von Bergmann, Potsdam. gesine.e@freenet.de
Pappert
D
D
Ohlmeier
H
H
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D004562:Electrocardiography / Q000187:drug effects; D004632:Emergency Medical Services; D005858:Germany; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D005996:Nitroglycerin / Q000008:administration & dosage; D015607:Stents; D015996:Survival Rate; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage
D010959:Tissue Plasminogen Activator; D005996:Nitroglycerin