Matsuzawa Yasushi, Kosuge Masami, Fukui Kazuki, Suzuki Hiroshi, Kimura Kazuo
Division of Cardiology, Yokohama City University Medical Center.
Department of Cardiology, Kanagawa Cardiovascular and Respiratory Center.
Circ J. 2022 Mar 25;86(4):591-599. doi: 10.1253/circj.CJ-21-0807. Epub 2021 Oct 22.
Acute cardiovascular disease, such as acute myocardial infarction and aortic disease, can lead to a serious life-threatening state within minutes to hours, so early accurate diagnosis, and appropriate treatment without delay are essential. To provide high-quality and timely treatment, 24-h availability of medical staff and cardiologists, as well as a cardiac catheterization laboratory are needed. In Japan, the number of patients with acute cardiovascular disease is increasing with the aging population and westernization of lifestyle; however, workstyle reforms for physicians, including a policy to limit overtime work, have been legislated. Under these conditions, it is necessary to centralize hospitals that treat cardiovascular emergency diseases as high-volume centers and build a patient triage system for allocating patients before hospital arrival. The prehospital 12-lead electrocardiogram (ECG) plays a central role in prehospital diagnosis and triage, and its importance will increase in future. We discuss the current and future state of the cardiovascular emergency medical care system utilizing prehospital 12-lead ECG in urban areas of Japan.
急性心血管疾病，如急性心肌梗死和主动脉疾病，可在数分钟至数小时内导致严重的危及生命的状态，因此早期准确诊断并及时进行适当治疗至关重要。为了提供高质量且及时的治疗，需要医护人员和心脏病专家24小时待命，以及配备心脏导管插入实验室。在日本，随着人口老龄化和生活方式的西化，急性心血管疾病患者的数量正在增加；然而，包括限制加班政策在内的针对医生的工作方式改革已经立法。在这种情况下，有必要将治疗心血管急症的医院集中作为大容量中心，并建立患者分诊系统，以便在患者到达医院之前进行分配。院前12导联心电图（ECG）在院前诊断和分诊中起着核心作用，其重要性在未来还会增加。我们讨论了在日本城市地区利用院前12导联心电图的心血管急救医疗系统的现状和未来状况。
