Reduction of the "door-needle" time at the Emergency Departament with the thrombolytic treatment

• Main Authors: Juan José Quirós Luis, Ricardo Elizalde Díaz, Antonio Castillo Guzmán
• Format: Article
• Language: Spanish
• Published: ECIMED 2014-03-01
• Series: Revista Cubana de Cardiología y Cirugía Cardiovascular
• Subjects: terapia trombolitica; infarto del miocardio.
• Online Access: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/453

110 patients were treated with recombinant streptochinase by the medical tem on duty at the Institute of Cardiology and Cardiovascular Surgery aimed at reducing the «door-needle» time. The time elapsed from the onset of the symptons until the arrival of the patient to the Emergency Departament was 110 min (between 10 and 420 min). It took 53 min to carry out thrombolysis (from 15 to 180 min). The langh of time since the onset of the symptons until the beginning of the treatment was 165 min (between 30 and 440 min). After concluding the thrombolytic treatment patients were divided into 2 groups. In the group in which the S-T segment becams normal the average length of time from the onset of the symptoms to the beginning of the treatment was 135.7 min, whereas in the other group where the S-T segment was not normal the mean was 194.7 min. There was a significant difference (p < 0.001). It was concluded that thrombolysis at the Emergency Departament reduces the «door-needle» time remarkably and increases the possibility of success ot the treatment.