| Resuscitation of patients with ischaemic heart disease before admission to hospital. | |
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MedLine Citation:
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PMID: 1188188 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This paper provides data about the efficacy of resuscitation before hospital admission of 139 patients with myocardial infarction. Successful resuscitation was effected in 43 (30.9 percent) patients, of whom 29 (20.9 percent) survived and were discharged from hospital. An organizational scheme is given for resuscitation measures before admission, in which the following teams participate: premedical, general first-aid ambulance team and specialized first-aid cardiological team (Mobile Coronary Care Unit, MCCU - definition of World Health Organization). The effectiveness of resuscitation depends upon the patient's age, and the presence and degree of circulatory insufficiency before clinical death. It proved possible to revive successfully patients of advanced age and with proceding mild or moderate acute circulatory insufficiency. Resuscitation was not successful in patients with preceding severe circulatory insufficiency. Blood electrolytes were studied in the post-resuscitation period. There was a statistically significant decline in plasma potassium ion concentration. Potassium salts should be introduced in the form of a polarizing mixture, especially to patients with an irregular cardiac rhythm in the post-resuscitation period. Problems of intracardiac injections of drugs, intubation, and pervenous electric pacing in patients with myocardial infarction during resuscitation are discussed. It has been concluded that the optimum form of resuscitation before admission of patients with myocardial infarction involves rendering maximal aid at the place of occurrence of the infarction. |
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Authors:
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D Zilberman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 4 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 1975 |
Date Detail:
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Created Date: 1976-01-23 Completed Date: 1976-01-23 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1-17 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Arrhythmias, Cardiac / therapy Bradycardia / therapy Electrocardiography Heart Massage / methods Humans Middle Aged Mobile Health Units Myocardial Infarction / blood, mortality, physiopathology, therapy* Potassium / blood, therapeutic use Respiration, Artificial / methods Resuscitation* Shock, Cardiogenic / complications Tachycardia / therapy Time Factors |
| Chemical | |
Reg. No./Substance:
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7440-09-7/Potassium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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