Relationship of emergency medical assistance management to pathological events in the recuperation period after acute coronary attack

Abstract

Current management practice of emergency care for acute coronary events, its bad practice, or a pointless waste of time, is reflected in how the evolution of matter in the recovery period. In this study were included 350 adult patients with AMI or ACS. All of them called for emergency medical systems, received or not, the partial or whole immediate treatment „OANA-β” (oxygen, aspirin, nitro-glycerine, antalgic and β/blocker), at home, on the ambulances, into the first or the second hospital, received also the final treatment (FT, PCI or CABG), were admitted in the recuperation station and presented acute pathological events. The study is randomized, multi-centre, prospective and retrospective, during six years. In the recuperation period a series of patients presents some pathological events (recurrent angina, dysrhythmias, stroke, high blood pressure episode, re-infarction, cardio-respiratory arrest) and, we found that it is not very important what kind of target treatment (classic, ICP, fibrinolitic therapies or CABG) received the coronary patient by acute attack, but it’s really important when and where received it!