Hlatky M A, Cotugno H E, Mark D B, O'Connor C, Califf R M, Pryor D B
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.
Am J Cardiol. 1988 Mar 1;61(8):515-8. doi: 10.1016/0002-9149(88)90756-4.
To document current management of uncomplicated acute myocardial infarction (AMI), a national survey of 1,065 physicians was performed. Items from previous surveys in 1970 and 1979 were included to permit analysis of time trends in management. Median hospital stay dropped from 21 days in 1970 to 9 days in 1987. Use of beta blockers and aspirin doubled between 1979 and 1987, while use of anticoagulation and sulfinpyrazone dropped 4- to 10-fold. In 1987, coronary angiography was used commonly, especially in younger patients or those with either a non-Q-wave AMI, intravenous thrombolytic therapy or a positive exercise test. These findings document the increasingly aggressive approach to the management of patients with uncomplicated AMI.
为记录单纯性急性心肌梗死（AMI）的当前治疗情况，对1065名医生进行了一项全国性调查。纳入了1970年和1979年之前调查的项目，以便分析治疗的时间趋势。中位住院时间从1970年的21天降至1987年的9天。1979年至1987年间，β受体阻滞剂和阿司匹林的使用增加了一倍，而抗凝治疗和磺吡酮的使用则下降了4至10倍。1987年，冠状动脉造影被普遍使用，尤其是在年轻患者或患有非Q波AMI、接受静脉溶栓治疗或运动试验阳性的患者中。这些发现证明了对单纯性AMI患者治疗方法越来越积极。
