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Analysis of the use of thrombolytic therapy in the prehospital phase in Yakutsk city

Abstract

The article presents the analysis of results of patients treatment with acute coronary syndrome at a pre-hospital stage has been made: the group of patients received ТLТ and not received was compared. Positive dynamics in group with ТLТ on electrocardiography attributes was found at 63 %, to clinical attributes at 84 % of the patients; in distinction from patients who did not received ТLТ: positive electrocardiography dynamics in 38%, clinical dynamics in 59%. ТLТ technique is effective and safe and can be spent by any emergency brigade.

About the Authors

S. N. Morozov
Moscow State University of Medicine and Dentistry
Russian Federation


A. A. Donskaya
North-Eastern Federal University named after M.K. Ammosov
Russian Federation


K. I. Ivanov
Cardiology republic clinic Ministry of Health Republic Sakha
Russian Federation


L. M. Myarina
Yakutsk city hospital
Russian Federation


References

1. Annual reports of the «First aid station Yakutsk». - 2010. – 86 р.

2. National clinical recommendation. RNOC. – M.: Рublishing house Sitselia-Poligraf. – 512 p.

3. Oganov R.G. Cardio vascular disease in Russian Federation in second half XX centuries: tendencies, the possible reasons, prospects / R.G. Oganov, T.Y. Maslennicova // Kardiologiia.- 2000.№6.Р.4-8.

4. Order Minzdravsocrazvitiya RF № 599-n 19 August 2009 year. «Аbout the statement of the order of rendering of scheduled and urgent medical aid to the population of the Russian Federation at illnesses of system of blood circulation of a cardiological structure».

5. Ruda M.Y. The organization of the help of patients from at acute coronary syndrome a prehospital stage. The report on congress «Progress of cardiology and decrease cardiovascular death rates » / M.Y. Ruda. - M., 3 June 2008.

6. Shetkina I.N. Trombolysis therapy of a sharp heart attack of a myocardium at a pre-hospital stage of rendering assistance. / I.N. Shetkina. - Saratov: Рublishing house Saratov med. acad, 2008. – 24 p.

7. Shetkina I.N. Economic efficiency trombolysis therapies of a heart attack of a myocardium with rise of a segment SТ at a pre-hospital stage of rendering assistance. /I.N.Shetkina// Cardiology. - 2009. Materials of VI All-Russia scientificallyeducational forum. - Р. 330-331.

8. Gruppo Italiano per lo Studio della Streptochinasi nell’infarto Miocardica (GISSI): Long-term effects of intravenous thrombolysis in acute myocardial infarction: final report of the GISSI study // Lancet. – 1987. – 2. – Р.871.

9. ISIS-2 (Second International Study of Infarct Survival) Collaborative Group. Randomized trial of intravenous streptokinase, oral aspirin, both or neither among 17, 187 cases of suspected acute myocardial infarction: ISIS-2 // Lancet. – 1988. – 2. – Р.349-360.

10. Trial of tissue plasminogen activator for mortality reduction in acute myocardial infarction: Anglo-Scandinavian Study of Early Thrombolysis (ASSET) / R.G. Wilcox [еt al.] // Lancet. - 1988. - 2. - Р.525.

11. Effects of alteplase in acute myocardial infarction: 6-month results from the ASSET study: the Anglo-Scandinavian Study of Early Thrombolysis / R.G. Wilcox, G. von der Lippe, C.G. Olsson [еt al.] // Lancet. – 1990. – 335. – Р.1175.


Review

For citations:


Morozov S.N., Donskaya A.A., Ivanov K.I., Myarina L.M. Analysis of the use of thrombolytic therapy in the prehospital phase in Yakutsk city. Yakut Medical Journal. 2012;(2):15-18.

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ISSN 1813-1905 (Print)
ISSN 2312-1017 (Online)