Analysis of pharmacotherapy of patients with acute coronary syndrome at pre-hospital stage
https://doi.org/10.33667/2078-5631-2020-7-42-45
Abstract
A patient with acute coronary syndrome requires not only urgent hospitalization, continuous medical observation, but also medical and diagnostic measures that meet standard standards.
Purpose of the study. Аnalysis of the management of patients with acute coronary syndrome with ST segments elevation in the prehospital phase.
Materials and methods. Analysis of emergency medical care patients with acute coronary syndrome with ST-segment elevation in 2017. In the study group, men (126 people) and women (119 people).
Results. The average time of arrival of the team is 14 minutes, the total time of patient care is 28.9 minutes (excluding time for delivery to the hospital). The time from the call to the moment of delivery to the emergency department is 53 minutes. Analysis of drug therapy revealed that the frequency of nitrates was 88.8 %, antiplatelet therapy – 88.2 %, narcotic analgesics – 82.3 %, anticoagulants – 67.3 %, β-blockers – 18.7 %, oxygen therapy – 36.3 %, antiarrhythmic drugs – 6.4 %, fibrinolytic therapy was performed in 54.3 % of patients.
Conclusions. А patient with acute coronary syndrome with ST elevation segments in the prehospital hospital provided sufficient medical care in accordance with clinical guidelines. A low percentage of thrombolytic therapy is associated with the presence of absolute contraindications for the patient.
About the Authors
E. Yu. Eryomina
National Research Mordovian State University n. a. N. P. Ogaryov
Russian Federation
Russian Federation
Saransk
K. A. Sveshnikov
National Research Mordovian State University n. a. N. P. Ogaryov
Russian Federation
Russian Federation
Saransk
M. I. Lityushkina
National Research Mordovian State University n. a. N. P. Ogaryov
Russian Federation
Russian Federation
Saransk
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Review
For citations:
Eryomina E.Yu., Sveshnikov K.A., Lityushkina M.I. Analysis of pharmacotherapy of patients with acute coronary syndrome at pre-hospital stage. Medical alphabet. 2020;(7):42-45. (In Russ.) https://doi.org/10.33667/2078-5631-2020-7-42-45
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