PMID- 24569740
OWN - NLM
STAT- MEDLINE
DCOM- 20140815
LR  - 20140226
IS  - 0807-7096 (Electronic)
IS  - 0029-2001 (Linking)
VI  - 134
IP  - 4
DP  - 2014 Feb 25
TI  - Are the guidelines for treatment of myocardial infarction complied with?
PG  - 412-6
LID - 10.4045/tidsskr.13.0305 [doi]
AB  - BACKGROUND: New guidelines recommend early invasive evaluation and treatment for 
      most patients with acute myocardial infarction--including patients with 
      myocardial infarction without ST elevation in the ECG. This study examines 
      compliance with the new guidelines at Sorlandet Hospital Arendal. MATERIAL AND 
      METHOD: All patients admitted to Sorlandet Hospital Arendal with acute myocardial 
      infarction in 2012 were registered in the Norwegian Myocardial Infarction 
      Register. Data from the register were used to analyse the time that passed from 
      symptom onset to coronary angiography and revascularisation. RESULTS: In 2012, 
      788 patients were admitted to Sorlandet Hospital Arendal with acute myocardial 
      infarction. Of these, 269 (34.1%) had ST elevation mycardial infarction (STEMI) 
      and 519 (65.9%) had non-ST elevation myocardial infarction (NSTEMI). Most 
      patients with ST elevation infarction (220 (81.8%)) were admitted directly to 
      Sorlandet Hospital Arendal, and the median time from admission to 
      revascularisation was 31 minutes. 347 (66.9%) of the patients with non-ST 
      elevation infarction were first admitted to a local hospital before being 
      transferred to Sorlandet Hospital Arendal. Only four (1.2%) of them underwent 
      angiography within two hours of admission to the first hospital. 13 (9.0%) of the 
      patients with non-ST elevation infarction who were admitted directly and 
      underwent angiography (n = 144) had an angiogram within two hours of admission. 
      Angiography was performed within 24 hours in 119 (34.3%) of those transferred (n 
      = 347) and in 82 (56.9%) of the directly admitted patients who underwent 
      angiography (n = 144). INTERPRETATION: Many patients with non-ST elevation 
      infarction did not receive revascularisation with percutaneous coronary 
      intervention (PCI) within the recommended time frame. Where there is a strong 
      clinical suspicion of acute myocardial infarction, more patients should be 
      admitted directly to hospitals with PCI preparedness.
FAU - Jortveit, Jarle
AU  - Jortveit J
FAU - Grenne, Bjornar
AU  - Grenne B
FAU - Uchto, Michael
AU  - Uchto M
FAU - Dahlslett, Thomas
AU  - Dahlslett T
FAU - Fosse, Liv
AU  - Fosse L
FAU - Gunnes, Pal
AU  - Gunnes P
LA  - eng
LA  - nor
PT  - Journal Article
PL  - Norway
TA  - Tidsskr Nor Laegeforen
JT  - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny 
      raekke
JID - 0413423
SB  - IM
CIN - Tidsskr Nor Laegeforen. 2014 Feb 25;134(4):379-80. PMID: 24569715
CIN - Tidsskr Nor Laegeforen. 2014 Apr 29;134(8):812-3. PMID: 24780971
CIN - Tidsskr Nor Laegeforen. 2014 Apr 29;134(8):813. PMID: 24780972
MH  - Aged
MH  - Aged, 80 and over
MH  - Coronary Angiography/standards
MH  - Female
MH  - *Guideline Adherence
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/diagnosis/*therapy
MH  - Norway
MH  - Percutaneous Coronary Intervention/standards
MH  - Practice Guidelines as Topic
MH  - Registries
MH  - *Time-to-Treatment
EDAT- 2014/02/27 06:00
MHDA- 2014/08/16 06:00
CRDT- 2014/02/27 06:00
PHST- 2014/02/27 06:00 [entrez]
PHST- 2014/02/27 06:00 [pubmed]
PHST- 2014/08/16 06:00 [medline]
AID - 3141038 [pii]
AID - 10.4045/tidsskr.13.0305 [doi]
PST - ppublish
SO  - Tidsskr Nor Laegeforen. 2014 Feb 25;134(4):412-6. doi: 10.4045/tidsskr.13.0305.