Analysis of the efficacy of providing medical care for acute coronary syndrome patients with ST segment elevation
- Authors: Lityushkina M.I.1
-
Affiliations:
- N.P. Ogarev National Research Mordovia State University
- Issue: Vol 9, No 10 (2023)
- Pages: 56-59
- Section: ORIGINAL STUDIES
- URL: https://journals.eco-vector.com/2412-4036/article/view/626270
- DOI: https://doi.org/10.18565/therapy.2023.10.56–59
- ID: 626270
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Abstract
Patients with acute coronary syndrome (ACS) require hospitalization, continuous medical supervision, treatment and diagnostical measures that meet modern standards.
The aim: to analyze the prehospital management tactics of ACS patients with ST-segment elevation.
Material and methods. An analysis of 245 ambulance call cards for ACS patients with ST segment elevation for 2019 (Emergency Medical Care Station, Republic of Mordovia) was carried out.
Results. Without taking into account the time for delivery to the hospital, total time for medical care providing to the studied patients took 28,9±4,7 minutes, time interval from the call to the ambulance service up to the delivery to emergency department was 53±5,1 minutes. Analysis of drug therapy showed that nitrates were used in 60,8%, narcotic analgesics in 81,9%, anticoagulants in 67,3%, antiplatelet therapy in 70,1%, fibrinolytic therapy in 8,9%, beta blockers in 18,7%, oxygen therapy in 36,3% of patients.
Conclusion. Patients with ACS at the prehospital stage received medical care in accordance with clinical recommendations; the low percentage of thrombolytic therapy was associated with the presence of contraindications to its performing.
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About the authors
Marina I. Lityushkina
N.P. Ogarev National Research Mordovia State University
Author for correspondence.
Email: litjushkina@rambler.ru
ORCID iD: 0000-0002-6098-4158
PhD in Medical Sciences, associate professor of the Department of propaedeutics of internal diseases, N.P. Ogarev National Research Mordovia State University
Russian Federation, SaranskReferences
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