PMID- 25538818
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20141224
LR  - 20200929
IS  - 1995-705X (Print)
IS  - 0976-5123 (Electronic)
IS  - 1995-705X (Linking)
VI  - 15
IP  - 3
DP  - 2014 Jul
TI  - Delay of Fibrinolysis in ST- Elevation Myocardial Infarction: Results of an 
      Investigation Conducted in a Single Center in Sousse Tunisia.
PG  - 65-7
LID - 10.4103/1995-705X.144780 [doi]
AB  - BACKGROUND: The aim of our study was to assess the delay of fibrinolysis in ST 
      elevation myocardial infarction (STEMI) in our region and to identify 
      characteristics associated with prolonged delay. PATIENTS AND METHODS: We 
      analyzed clinical characteristics of a prospective cohort of unselected patients 
      admitted for (STEMI). The study was conducted over three years 2007-2009 and 250 
      patients were included in a single center without capability of percutaneous 
      coronary intervention. RESULTS: The mean age of our patients was 58+/-13, 7 years. 
      Ninety percent of our patients consult directly the emergency department and 61, 
      (5%) of them were admitted within first 6 hours of onset of symptoms. Median time 
      to reperfusion was 46 min. Predictor of this long delay to initiate fibrinolysis 
      were inter-department decision OR 6; 95% CI 3,48-10,34, diabetes OR 2,25; 95% CI 
      1,28-3,96 age >58,4 years OR 1,97; 95% CI 1,19-3,25 and transfer from regional 
      hospital to our center OR 1,78; 95% 1,03-3.07. CONCLUSION: These results suggest 
      that improvement in organization health care system can shorten delay to 
      fibrinolysis in a center without percutaneous coronary intervention capability.
FAU - Bouraoui, Hatem
AU  - Bouraoui H
AD  - Department of Cardiology Farhat Hached Hospital 4000 Sousse, Tunisia.
FAU - Trimeche, Besma
AU  - Trimeche B
AD  - Department of Cardiology Farhat Hached Hospital 4000 Sousse, Tunisia.
FAU - Hajri, Samia Ernez
AU  - Hajri SE
AD  - Department of Cardiology Farhat Hached Hospital 4000 Sousse, Tunisia.
FAU - Mahdhaoui, Abdallah
AU  - Mahdhaoui A
AD  - Department of Cardiology Farhat Hached Hospital 4000 Sousse, Tunisia.
FAU - Romdhane, Meriem Ben
AU  - Romdhane MB
AD  - Department of Cardiology Farhat Hached Hospital 4000 Sousse, Tunisia.
FAU - Jeridi, Gouider
AU  - Jeridi G
AD  - Department of Cardiology Farhat Hached Hospital 4000 Sousse, Tunisia.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Heart Views
JT  - Heart views : the official journal of the Gulf Heart Association
JID - 101316474
PMC - PMC4268612
OTO - NOTNLM
OT  - Delay of fibrinolysis
OT  - ST-elevation myocardial infarction
OT  - reperfusion
COIS- Conflict of Interest: None declared.
EDAT- 2014/12/30 06:00
MHDA- 2014/12/30 06:01
PMCR- 2014/07/01
CRDT- 2014/12/25 06:00
PHST- 2014/12/25 06:00 [entrez]
PHST- 2014/12/30 06:00 [pubmed]
PHST- 2014/12/30 06:01 [medline]
PHST- 2014/07/01 00:00 [pmc-release]
AID - HV-15-65 [pii]
AID - 10.4103/1995-705X.144780 [doi]
PST - ppublish
SO  - Heart Views. 2014 Jul;15(3):65-7. doi: 10.4103/1995-705X.144780.