Herlitz J, Svensson L
Kardiologdivisionen, Sahlgrenska Universitetssjukhuset, Göteborg.
Lakartidningen. 2001 Aug 29;98(35):3696-8.
Among patients with a suspected acute coronary syndrome the early phase is particularly critical. At that stage, pain is most intense and the risk of life-threatening arrhythmia is greatest. Also at that stage, the prospect of limiting infarct size and maybe even protecting patients from developing myocardial damage is at its best. Thrombolytic treatment initiated prior to hospital admission has been shown to more effectively reduce mortality in acute myocardial infarction than thrombolytic therapy initiated after admission. Swedish pre-hospital care appears to have adapted relatively well in this aspect of clinical care.
在疑似急性冠状动脉综合征的患者中，早期阶段尤为关键。在那个阶段，疼痛最为剧烈，危及生命的心律失常风险最大。同样在那个阶段，限制梗死面积甚至保护患者免受心肌损伤的前景最为乐观。已证明，入院前开始的溶栓治疗比入院后开始的溶栓治疗能更有效地降低急性心肌梗死的死亡率。瑞典的院前护理在这一临床护理方面似乎适应得相对较好。
