Eigenmann B, Sefidpar M, Reutter F W, Gessner U
Schweiz Med Wochenschr. 1975 Nov 1;105(44):1454.
Cardiac death after a myocardial infarction occurs most frequently within the first hour after onset of symptoms and in nearly 2/3 of cases before transfer to a hospital. Mortality therefore should be influenced by shortening of the prehospital phase. At moderate cost a mobile coronary care unit (Kardiomobil) has been introduced at the Cantonal Hospital, St. Gall. Experience and results of the first year of the service are reported. 82 out of 142 patients transported by Kardiomobil proved to have myocardial infarction. Two patients with ventricular fibrillation were defibrillated, with one longterm success. Sixteen cases of potentially life threatening arrhythmias were successfully treated. The mean period from onset of symptoms to alerting a doctor was 1 h 15 min, while the mean period from onset of infarction to entry into the hospital CCU was 3 hrs.
心肌梗死后的心源性死亡最常发生在症状出现后的第一小时内，近三分之二的病例发生在转送至医院之前。因此，死亡率应受院前阶段时长缩短的影响。圣加仑州立医院以适度成本引入了移动冠心病监护单元（Kardiomobil）。报告了该服务第一年的经验和结果。由Kardiomobil转运的142例患者中，82例被证实患有心肌梗死。两名室颤患者接受了除颤治疗，其中一例取得长期成功。16例有潜在生命危险的心律失常病例得到成功治疗。从症状出现到通知医生的平均时长为1小时15分钟，而从梗死发作到进入医院冠心病监护病房的平均时长为3小时。
