Skip to main content
Erschienen in: Wiener klinische Wochenschrift 5-6/2015

01.03.2015 | short report

Improvement in prehospital time in acute coronary syndrome between 1985 and 2013 in the south-eastern area of Hungary

verfasst von: Laszlo Mark, MD, PhD, Gyӧzӧ Dani, Robert Vendrey, Janos Ruzsa, Andras Katona

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2015

Einloggen, um Zugang zu erhalten

Summary

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.
Literatur
1.
Zurück zum Zitat Hamm CW, Bassand JP, Agewall S, ESC Committee for Practice Guidelines, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2011;32:2999–3054.CrossRefPubMed Hamm CW, Bassand JP, Agewall S, ESC Committee for Practice Guidelines, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2011;32:2999–3054.CrossRefPubMed
2.
Zurück zum Zitat Steg PG, James SK, Atar D, et al. Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2012;33:2569–619.CrossRefPubMed Steg PG, James SK, Atar D, et al. Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2012;33:2569–619.CrossRefPubMed
3.
Zurück zum Zitat Perk J, De Backer G, Gohlke H, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012): the Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur J Prev Cardiol. 2012;19:585–667.CrossRef Perk J, De Backer G, Gohlke H, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012): the Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts). Eur J Prev Cardiol. 2012;19:585–667.CrossRef
4.
Zurück zum Zitat Naegeli B, Radovanovic D, Rickli H, et al. Impact of a nationwide public campaign on delays and outcome in Swiss patients with acute coronary syndrome. Eur J Cardiovasc Prev Rehabil. 2011;18:297–304.CrossRefPubMed Naegeli B, Radovanovic D, Rickli H, et al. Impact of a nationwide public campaign on delays and outcome in Swiss patients with acute coronary syndrome. Eur J Cardiovasc Prev Rehabil. 2011;18:297–304.CrossRefPubMed
5.
Zurück zum Zitat Kiss Z, Nagy L, Reiber I, et al. Persistence with statin therapy in Hungary. Arch Med Sci. 2012;9:409–17. Kiss Z, Nagy L, Reiber I, et al. Persistence with statin therapy in Hungary. Arch Med Sci. 2012;9:409–17.
6.
Zurück zum Zitat Márk L, Deli L. Az acut myocardialis infarctus prehospitalis szakának vizsgálata kórházunk ellátási területén. [Examination of the prehospital period of acute myocardial infarction in the area of our hospital]. Népegészségügy. 1987;68:286–8. [Article in Hungarian]. Márk L, Deli L. Az acut myocardialis infarctus prehospitalis szakának vizsgálata kórházunk ellátási területén. [Examination of the prehospital period of acute myocardial infarction in the area of our hospital]. Népegészségügy. 1987;68:286–8. [Article in Hungarian].
7.
Zurück zum Zitat Józan P. Rendszerváltozás és epidemiológiai korszakváltás Magyarországon. [Change of the political system and epidemiologic transition in Hungary]. Orv Hetil. 2012;153:662–77. [Article in Hungarian].CrossRefPubMed Józan P. Rendszerváltozás és epidemiológiai korszakváltás Magyarországon. [Change of the political system and epidemiologic transition in Hungary]. Orv Hetil. 2012;153:662–77. [Article in Hungarian].CrossRefPubMed
8.
Zurück zum Zitat Matejka Zs, Kiss N. A lakossági szűrések hatékonyságának és az ajánlható célcsoportok meghatározásának EBM alapú irodalmi összefoglalója. [The EBM summary for the recommendation and determination of target groups of population screenings] Egészségügyi Szakértő Műhely Kft. Egészségügyi Stratégiai Kutatóintézet. Budapest. 2006. [Article in Hungarian] http://www.eski.hu/new3/politika/zip_doc_2006/lakossagi_szuresek.pdf. Matejka Zs, Kiss N. A lakossági szűrések hatékonyságának és az ajánlható célcsoportok meghatározásának EBM alapú irodalmi összefoglalója. [The EBM summary for the recommendation and determination of target groups of population screenings] Egészségügyi Szakértő Műhely Kft. Egészségügyi Stratégiai Kutatóintézet. Budapest. 2006. [Article in Hungarian] http://​www.​eski.​hu/​new3/​politika/​zip_​doc_​2006/​lakossagi_​szuresek.​pdf.
9.
Zurück zum Zitat Ting HH, Bradley EH, Wang Y, et al. Factors associated with longer time from symptom onset to hospital presentation for patients with ST-elevation myocardial infarction. Arch Intern Med. 2008;168:959–68.CrossRefPubMed Ting HH, Bradley EH, Wang Y, et al. Factors associated with longer time from symptom onset to hospital presentation for patients with ST-elevation myocardial infarction. Arch Intern Med. 2008;168:959–68.CrossRefPubMed
10.
Zurück zum Zitat Ting HH, Chen AY, Roe MT, et al. Delay from symptom onset to hospital presentation for patients with non-ST-segment elevation myocardial infarction. Arch Intern Med. 2010;170:1834–41.CrossRefPubMed Ting HH, Chen AY, Roe MT, et al. Delay from symptom onset to hospital presentation for patients with non-ST-segment elevation myocardial infarction. Arch Intern Med. 2010;170:1834–41.CrossRefPubMed
11.
Zurück zum Zitat Dracup K, McKinley S, Riegel B, et al. A randomized clinical trial to reduce patient prehospital delay to treatment in acute coronary syndrome. Circ Cardiovasc Qual Outcomes. 2009;2:524–32.CrossRefPubMedCentralPubMed Dracup K, McKinley S, Riegel B, et al. A randomized clinical trial to reduce patient prehospital delay to treatment in acute coronary syndrome. Circ Cardiovasc Qual Outcomes. 2009;2:524–32.CrossRefPubMedCentralPubMed
12.
Zurück zum Zitat Mooney M, McKee G, Fealy G, et al. A randomized controlled trial to reduce prehospital delay time in patients with acute coronary syndrome (ACS). J Emerg Med. 2014;46:495–506.CrossRefPubMed Mooney M, McKee G, Fealy G, et al. A randomized controlled trial to reduce prehospital delay time in patients with acute coronary syndrome (ACS). J Emerg Med. 2014;46:495–506.CrossRefPubMed
13.
Zurück zum Zitat Doyle F, De La Harpe D, McGee H, Shelley E, Conroy R. Nine-year comparison of presentation and management of acute coronary syndromes in Ireland: a national cross-sectional survey. BMC Cardiovasc Disord. 2005;5:5.CrossRefPubMedCentralPubMed Doyle F, De La Harpe D, McGee H, Shelley E, Conroy R. Nine-year comparison of presentation and management of acute coronary syndromes in Ireland: a national cross-sectional survey. BMC Cardiovasc Disord. 2005;5:5.CrossRefPubMedCentralPubMed
14.
Zurück zum Zitat Jánosi A, Ofner P, Merkely B, et al. Szívinfarktus miatt kezelt betegek korai és késői prognózisa. Magyar Infarctus Regiszter Vizsgálat. [Short and long term prognosis of patients with myocardial infarction. Hungarian Myocardial Infarction Registry]. Orv Hetil. 2013;154:1297–302. [Article in Hungarian].CrossRefPubMed Jánosi A, Ofner P, Merkely B, et al. Szívinfarktus miatt kezelt betegek korai és késői prognózisa. Magyar Infarctus Regiszter Vizsgálat. [Short and long term prognosis of patients with myocardial infarction. Hungarian Myocardial Infarction Registry]. Orv Hetil. 2013;154:1297–302. [Article in Hungarian].CrossRefPubMed
15.
Zurück zum Zitat Jánosi A, Ofner P, Forster T, et al. Clinical characteristics, hospital care, and prognosis of patients with ST elevation myocardial infarction: Hungarian Myocardial Infarction Registry. Eur Heart J Suppl. 2014;16(Suppl A):A12–5. Jánosi A, Ofner P, Forster T, et al. Clinical characteristics, hospital care, and prognosis of patients with ST elevation myocardial infarction: Hungarian Myocardial Infarction Registry. Eur Heart J Suppl. 2014;16(Suppl A):A12–5.
16.
Zurück zum Zitat McKee G, Mooney M, O’Donnell S. et al. Multivariate analysis of predictors of pre-hospital delay in acute coronary syndrome. Intern J Cardiol. 2013;168:2706–13.CrossRef McKee G, Mooney M, O’Donnell S. et al. Multivariate analysis of predictors of pre-hospital delay in acute coronary syndrome. Intern J Cardiol. 2013;168:2706–13.CrossRef
Metadaten
Titel
Improvement in prehospital time in acute coronary syndrome between 1985 and 2013 in the south-eastern area of Hungary
verfasst von
Laszlo Mark, MD, PhD
Gyӧzӧ Dani
Robert Vendrey
Janos Ruzsa
Andras Katona
Publikationsdatum
01.03.2015
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2015
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-015-0717-7

Weitere Artikel der Ausgabe 5-6/2015

Wiener klinische Wochenschrift 5-6/2015 Zur Ausgabe