Tachibana Eizo, Kanmatsuse Katsuo
Department of Cardiology, Nihon University, Surugadai Hospital.
Nihon Rinsho. 2006 Apr;64(4):771-8.
The proportion of cardiac etiology is more than 50% of the patients of out-of-hospital cardiac arrest and the cause of cardiac etiology is acute coronary syndromes (ACS) in about 70%. Although the mortality rate of acute myocardial infarction with ST elevation was about 7% in the cardiac reperfusion era, there is a high mortality rate in the patients with ACS who developed out-of-hospital cardiac arrest. We summarized the emergency medical service system in Japan and its problems. Achieving the optimal survival rate for out-of-hospital cardiac arrest due to ACS is the challenge now and in the future.
心脏病因在院外心脏骤停患者中所占比例超过50%，而心脏病因中约70%为急性冠状动脉综合征（ACS）。尽管在心脏再灌注时代，ST段抬高型急性心肌梗死的死亡率约为7%，但发生院外心脏骤停的ACS患者死亡率很高。我们总结了日本的紧急医疗服务系统及其存在的问题。实现ACS所致院外心脏骤停的最佳生存率是当前和未来的挑战。
