Analysis of Providing Emergency Care to Patients with Myocardial Infarction without ST Segment Elevation

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Є. В. Сідь
О. С. Кульбачук

Abstract

A high mortality rate due to acute myocardial infarction (AMI) stimulates the analysis of the quality of emergency medical care at the prehospital stage. Firstly, an analysis of the reasons for the treatment of patients with AMI to general practitioners is necessary. Secondly, the quality of the provision of medical services by general practitioners is one of the criteria for the effectiveness of the implementation of patient management protocols, which requires a systematic analysis and relevant studies.

The objective: to analyze the provision of emergency medical care to patients with acute myocardial infarction without ST segment elevation (NSTEMI) when they seek medical care.

Materials and methods. The referral routes for hospitalization of patients with acute coronary syndrome and clinical manifestations were analyzed among 280 patients with STEMI and 91 patients with NSTEMI. The assessment of treatment tactics in patients with NSTEMI was carried out in the following paragraphs of the emergency medical care protocol: determination of blood saturation, ensuring reliable venous access, administration of nitroglycerin in aerosol (1–2 doses or 0,4–0,8 mg), use of acetylsalicylic acid (ASA ) after chewing 160–325 mg, the use of clopidogrel 300 mg orally; the appointment of β-blocker; narcotic analgesic; anticoagulant. Statistical data processing was carried out using non-parametric criterion χ2.

Results. Appeals to primary health care centers were significantly more frequent in patients with NSTEMI, due to the clinical course of the disease.

Conclusion. At the stage of medical care by general practitioners, only the appointment of acetylsalicylic acid met the criteria for the implementation of the protocol for the provision of emergency medical care to patients with NSTEMI.

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How to Cite
Сідь, Є. В., & Кульбачук, О. С. (2020). Analysis of Providing Emergency Care to Patients with Myocardial Infarction without ST Segment Elevation. Family Medicine, (1-2), 26–29. https://doi.org/10.30841/2307-5112.1-2.2020.204395
Section
Topical issues
Author Biographies

Є. В. Сідь, Zaporizhzhya Medical Academy of Postgraduate Education

Yevhen V. Sid,

Department of Emergency Medicine State

О. С. Кульбачук, Zaporizhzhya Medical Academy of Postgraduate Education

Oleksandr S. Kulbachuk,

Department of General Practice–Family Medicine with Dermatovenerology and Psychology Courses

References

Long-term survival and causes of death in patients with ST-elevation acute coronary syndrome without obstructive coronary artery disease / H.B. Andersson, F. Pedersen, T. Engstrøm [et al.] // European heart journal. – 2017. – Vol. 39 (2). – P. 102–110.

Predicting in-hospital mortality in patients with acute myocardial infarction / R.L. McNamara, K.F. Kennedy, D.J. Cohen [et al.] // Journal of the American College of Cardiology. – 2016. – Vol. 68 (6). – P. 626–635.

Старченко А.А. Критерии оценки качества медицинской помощи: важный шаг в направлении уважения прав пациентов, врачей и экспертов / А.А. Старченко // Менеджер здравоохранения. – 2015. – № 9. – С. 55–62.

Концевая А.В. Задержка обращения пациентов с острым коронарным синдромом/инфарктом миокарда за скорой медицинской помощью: обзор исследований / А.В. Концевая, Е.Н. Кононец, Е.А. Горячкин // Российский кардиологический журнал. – 2019. – № 8. – C. 132–139.

Третяк Д. Перспективи впровадження інновацій в особистому страхуванні на прикладі зарубіжних країн / Д. Третяк // Вісник Київського національного університету імені Тараса Шевченка. Економіка. – 2017. – № 5. – С. 50–58.

ESC Guidelines for the management of acute myocardial infarction in patients presenting with STsegment elevation The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC) / B. Ibanez, S. James, S. Agewall [et al.] // European Heart Journal. – 2017. – Vol. 39 (2). – P. 119-177.

Сравнительный анализ индикаторов качества оказания скорой медицинской помощи больным острым коронарным синдромом / Д.Ф. Хусаинова, И.В. Холкин, Л.А. Соколова [и др.] // Врач скорой помощи. – 2013. – № 1. – С. 28–32.

Кущ О.В. Организационные технологии повышения качества специализированной медицинской помощи при остром коронарном синдроме / О.В. Кущ, Г.В. Артамонова, Л.С. Барбараш // Проблемы социальной гигиены, здравоохранения и истории медицины. – 2015. – № 5. – С. 39–42.