[Fibrinolysis in acute myocardial infarction in the emergency department of a regional hospital].
Acute myocardial infarction (AMI) is caused by a lack of blood supply due to obstruction of a coronary artery causing ischaemia around the heart muscle. The patient with AMI usually begins with chest pain, which is sometimes irradiating and oppressive, but this is not always decisive, as we will see. It can be detected rapidly, or suspicion confirmed by performing an ECG, which in most cases will show changes in the ST segment. The diagnosis can be supplemented by an analytical study with specific values of creatine kinase and Troponins. Due to the long distances that there may be between a level I hospital and a level III one, where in many cases, to obtain fibrinolytic treatment. This treatment involves administering a fibrinolytic drug to dissolve the clot that clogs the coronary artery causing the heart attack. The door-needle time (defined as the time between when the patient enters the emergency department to having the first puncture for treatment) is very important as the longer the time of onset of AMI, fibrinolytic treatment may be contraindicated. The performing of nursing triage may be critical for this health problem. Nursing care will also be the key for patient care.
Perapoch-Cunyat
Núria
N
Servicio de Urgencias, Hospital Comarcal de Blanes, Blanes, Gerona, España. nperapoch@yahoo.es
D004636:Emergency Service, Hospital; D005342:Fibrinolysis; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy*; D013030:Spain