Grosgogeat Y, Artigou J Y
Service de cardiologie, Hôpital de la Salpêtrière, Paris.
Bull Acad Natl Med. 1991 Mar;175(3):385-92; discussion 392-3.
The new treatment of myocardial infarction in the acute phase is effective if it is applied as early as possible after the onset of ischemia. The concept of extreme emergency implies a change in the overall management of the patients, a reorganization of medical care and major increase in expenditures. Price disparities of thrombolytic agents and variability in complementary reperfusion therapies have a impact on hospital cost of thrombolysis. While individual patients unquestionably benefit from this new methods, further studies are needed to evaluate the increase in health expenditures involved and the economic repercussions of avoidance or limitation of myocardial infarctions.
急性心肌梗死的新治疗方法如果在缺血发作后尽早应用是有效的。极端紧急情况的概念意味着患者整体管理的改变、医疗护理的重新组织以及支出的大幅增加。溶栓药物的价格差异和辅助再灌注治疗的变异性对溶栓的医院成本有影响。虽然个别患者无疑从这些新方法中受益，但需要进一步研究来评估所涉及的医疗支出增加以及避免或限制心肌梗死的经济影响。
