Baird H
Ulster Med J. 1985 Oct;54(2):171-5.
The general practitioners in a rural practice in a three-year period were called to 101 patients (25% female) who suffered a myocardial infarction. The average response time was 15 minutes. Seventeen patients collapsed and died and the 84 who survived the initial period were given immediate coronary care and either cared for at home, admitted by cardiac ambulance to a coronary care unit, or admitted to a general medical ward with monitor facilities. The four-week mortality rates were 21.0%, 21.5% and 57.7% respectively. Thirty-six patients required treatment for arrhythmias in the initial care period, of whom nine required defibrillation. This survey supports the view that patients over the age of 60 years with uncomplicated myocardial infarction may be cared for successfully at home.
在三年时间里，一家乡村诊所的全科医生接到了101名心肌梗死患者（25%为女性）的求救。平均响应时间为15分钟。17名患者晕倒并死亡，在初始阶段幸存下来的84名患者立即接受了冠心病护理，要么在家中接受护理，要么由心脏救护车送往冠心病监护病房，要么被收治到设有监测设备的普通内科病房。四周死亡率分别为21.0%、21.5%和57.7%。在初始护理阶段，36名患者需要治疗心律失常，其中9名需要除颤。这项调查支持了这样一种观点，即60岁以上无并发症心肌梗死患者可以在家中得到成功护理。
