Document Detail

Thrombolytic therapy: impact on coronary care in a district general hospital.
MedLine Citation:
PMID:  1411478     Owner:  NLM     Status:  MEDLINE    
The introduction of routine thrombolytic therapy in the Cardiac Care Unit (CCU) of a District General Hospital has resulted in an increased demand for admission particularly in the 70+ age group. Complications and side effects of such treatment have been similar to those reported in several large multicentre trials. The percentage of patients with myocardial infarction receiving thrombolysis has increased to 60% with the commonest reason for withholding of such treatment being the lack of ECG changes. Mortality rates have fallen and there has been an increased referral rate for urgent angiography. To maximise benefit CCU's should encourage early direct admission and ensure that, if not present on site, facilities for angiography can easily be arranged.
D M Lawrie; B Halliday; S Mageed
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scottish medical journal     Volume:  37     ISSN:  0036-9330     ISO Abbreviation:  Scott Med J     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-10-28     Completed Date:  1992-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2983335R     Medline TA:  Scott Med J     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  110-2     Citation Subset:  IM    
Coronary Care Unit/Medical Unit, Victoria Hospital, Kirkcaldy, Fife.
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MeSH Terms
Hospitals, District
Hospitals, General
Myocardial Infarction / drug therapy*
Thrombolytic Therapy* / adverse effects,  utilization

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