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March 31, 1998CirculationOpen Access

Use of Reperfusion Therapy for Acute Myocardial Infarction in the United States

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Why the study?

What are the predictors of underutilization of reperfusion therapy in eligible patients with acute myocardial infarction?

Population

84,663 patients with acute myocardial infarction eligible for reperfusion therapy hospitalized at 1470…

Design

Cohort

Authors

HBHal V. BarronLBLaura J. BowlbyTBTim Breen

Discussion

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Overview

Clinicians should scrutinize reperfusion eligibility for elderly women and atypical AMI presentations; leaves open whether targeted interventions improve outcomes.

Structured PICO

What are the predictors of underutilization of reperfusion therapy in eligible patients with acute myocardial infarction?

P
Population
84,663 patients with acute myocardial infarction eligible for reperfusion therapy (defined by diagnostic changes on the initial 12-lead ECG, presentation to the hospital within 6 hours from symptom onset, and no contraindications to thrombolytic therapy) hospitalized at 1470 hospitals in the United States.
I
Intervention
Reperfusion therapy
O
Outcome
Receipt of reperfusion therapy

A significant proportion (24%) of eligible patients with acute myocardial infarction in the US do not receive reperfusion therapy, with women, the elderly, and those with atypical presentations being at highest risk for underutilization.

Cite This Study

Barron et al. (1998) studied this question.

synapsesocial.com/papers/6a08956c68784e0db1107574https://doi.org/10.1161/01.cir.97.12.1150
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