胸痛和院前延误

Q4 Medicine Medicinski Casopis Pub Date : 2021-01-01 DOI:10.5937/mckg55-26065
M. Stevanovic, S. Živanović
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引用次数: 0

摘要

目的是显示心绞痛(AP)和急性冠脉综合征(ACS)患者胸痛的持续时间之前报告救护车,以及患者的自我管理疼痛。材料和方法。该研究于2014年8月1日至2018年10月1日在贝尔格莱德EMS的医务室完成。该研究涉及了9437名患者中的161名患者,他们接受了一名医生的治疗,确诊或疑似诊断为ACS或AP。AP患者最常见的等待时间为2-24小时,而ACS患者从疼痛发作到联系EMS等待时间<1小时。大多数MI患者(17例)和AP患者(79例)未接受任何治疗,而一些患者给予一种或多种药物以缓解疼痛。AP患者的首选药物为降压药(17.42%),心肌梗死患者的首选药物为硝酸甘油和镇痛药(31.03%)。所有先前诊断为心肌梗死和AP的患者中有12.42%的患者自行服用硝酸甘油。结论。AP患者在胸痛时等待更长时间才能呼叫ACS患者的EMS,但他们选择的自我给药药物是抗高血压药物。硝酸甘油作为首选合适的药物使用较少,在大多数情况下,患者甚至没有现成的药物。
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Chest pain and prehospital delay
Aim was to show the duration of chest pain in patients with Angina pectoris (AP) and acute coronary syndrome (ACS) prior to reporting to the ambulance as well as the patients' self management of the pain. Materials and methods. The study was done between 1st August 2014th and 1st October 2018th in the infirmary of EMS in Belgrade. The study involved 161 patients, out of 9437 patients in total, who were treated by one doctor and with confirmed or suspected diagnosis of an ACS or AP. Results. Patients with AP most commonly waited between 2-24 hours, while the patients with ACS waited <1h from the pain onset until contacting EMS. Most patients with MI (17) as well as with AP (79) did not take any kind of therapy, while some patients administered one or more drugs in order to relieve the pain. In patients with AP, the drugs of choice were antihypertensive medications (17.42%) and in MI patients Nitroglycerin and analgesics (31.03%). All patients previously diagnosed with MI and AP have self-administered Nitroglycerin in 12.42% of cases. Conclusion. Patients with AP wait longer when having chest pain before calling EMS from patients with ACS, but their self-administered drugs of choice were antihypertensive medications. Nitroglycerine as the first appropriate drug of choice is used less and in most cases patients even do not have it readily available.
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Medicinski Casopis
Medicinski Casopis Medicine-Medicine (all)
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