Initiating thrombolytic therapy for acute myocardial infarction: whose job is it anyway?

Although thrombolytic therapy has clearly become the standard of care for acute myocardial infarction (AMI), its delivery in Canada continues to be extremely variable. Significant unnecessary delays in the initiation of this treatment still occur in many hospitals and constitute the most common avoi...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 1996-02, Vol.154 (4), p.509-511
Main Authors: Letovsky, E, Allen, T
Format: Article
Language:English
Subjects:
Cardiovascular disease
Emergency Service, Hospital
Humans
Myocardial Infarction - drug therapy
Practice Guidelines as Topic
Thrombolytic Therapy
Time Factors
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Summary:Although thrombolytic therapy has clearly become the standard of care for acute myocardial infarction (AMI), its delivery in Canada continues to be extremely variable. Significant unnecessary delays in the initiation of this treatment still occur in many hospitals and constitute the most common avoidable cause of death in patients with AMI. The authors agree with the statement by representatives of the member organizations of the Emergency Cardiac Care Coalition (see pages 483 to 487 of this issue) that emergency service providers must get patients to hospital sooner and that all eligible patients should receive thrombolytic therapy within 30 minutes of their arrival at hospital. This objective requires that thrombolytic therapy be initiated by emergency physicians and be supported by well-established guidelines for its use.
ISSN:0820-3946
1488-2329