Mark Laszlo, Dani Gyӧzӧ, Vendrey Robert, Ruzsa Janos, Katona Andras
2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary,
Wien Klin Wochenschr. 2015 Mar;127(5-6):218-21. doi: 10.1007/s00508-015-0717-7. Epub 2015 Mar 21.
Acute coronary syndrome (ACS) is a life-threatening condition and the time-period from the onset of symptoms to the patients' arrival into the hospital has crucial importance. The authors investigated retrospectively the patients' decision time (time from the onset of the symptoms to seeking medical help) and the transport time to hospital arrival. In Hungary, it is unique of its kind that the present data can be compared to those obtained in the same area almost three decades ago.One-hundred forty-two patients (106 males and 36 females) were involved in the study, the mean age ± SD was 62.4 ± 11.3 years. The median decision time was 40 min; the median hospital arrival time was 2 h and 13 min. These were significantly shorter than in 1985-1986. These time parameters were influenced neither by gender, age, the number of inhabitants in the patients' city, the patients' education level, the occurrence of any former coronary event in the family and nor by the fact that the type of ACS was myocardial infarction with or without ST segment elevation.During the last two and half decades both the decision and the hospital arrival time decreased significantly (by 39 and 28 %, respectively) probably due to greater knowledge of general practitioners and the better organized ambulance service. Further improvement is needed; this can be expected by consistent education of the patients.
急性冠状动脉综合征（ACS）是一种危及生命的疾病，从症状出现到患者入院的这段时间至关重要。作者回顾性调查了患者的决策时间（从症状出现到寻求医疗帮助的时间）以及到医院就诊的转运时间。在匈牙利，其独特之处在于目前的数据可以与近三十年前在同一地区获得的数据进行比较。142名患者（106名男性和36名女性）参与了该研究，平均年龄±标准差为62.4±11.3岁。决策时间中位数为40分钟；医院到达时间中位数为2小时13分钟。这些时间明显短于1985 - 1986年。这些时间参数不受性别、年龄、患者所在城市的居民数量、患者的教育水平、家族中既往任何冠状动脉事件的发生情况以及ACS类型是伴有或不伴有ST段抬高的心肌梗死等因素的影响。在过去二十五年中，决策时间和医院到达时间均显著缩短（分别缩短了39%和28%），这可能是由于全科医生知识的增加以及救护车服务组织得更好。仍需进一步改善；通过对患者进行持续教育有望实现这一点。
