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Prehospital evaluation and treatment of a presumed acute coronary syndrome: what are the options?
[external].
2006 (English)In: European journal of emergency medicine, ISSN 0969-9546, E-ISSN 1473-5695, Vol. 13, no 5, p. 308-312Article in journal (Refereed) Published
Abstract [en]

The earlier infarct-limiting therapy is started the better is the outcome among patients suffering from a threatened myocardial infarction. The introduction of a prehospital electrocardiogram has improved triage of patients with acute chest pain. With regard to medication, fibrinolytic agents have the best documentation. Their use when frequently followed by a percutaneous coronary intervention at a later stage may be a good alternative among patients with ST-elevation myocardial infarction. Other treatments of potential value in the prehospital setting are oxygen, narcotic analgesics, nitrates, aspirin, heparin, low molecular weight heparin, glycoprotein IIB, IIIA blockers, clopidogrel and beta-blockers. We need further studies, however, for most of these treatments including cost-benefit analysis, analysis of various logistic aspects and safety in order to confirm their value.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, Ltd. , 2006. Vol. 13, no 5, p. 308-312
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Medical and Health Sciences
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URN: urn:nbn:se:hb:diva-8057Local ID: 2320/9006OAI: oai:DiVA.org:hb-8057DiVA, id: diva2:888940
Available from: 2015-12-22 Created: 2015-12-22 Last updated: 2017-09-26Bibliographically approved

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Herlitz, Johan

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