Why the study?
Patients with myocardial infarction require urgent hospitalization, continuous supervision, and prehospital therapeutic and diagnostic measures meeting modern standards.
Prehospital medical care for patients with myocardial infarction generally aligns with clinical recommendations, with high rates of nitrate and antiplatelet use.
High prehospital nitrate/antiplatelet use in MI aligns with recommendations; supports consensus but leaves optimal beta-blocker selection open in observational data.
Relevance of the problem. In case of myocardial infarction, the patient needs not only continuous medical supervision and urgent hospitalization, but also the implementation at all stages of therapeutic and diagnostic measures that meet modern standards. Purpose of the work: to analyze the tactics of managing patients with myocardial infarction at the prehospital stage. Materials and methods. To solve these problems, an analysis of emergency medical care call cards for patients with myocardial infarction for 2022 was carried out. Results. When analyzing drug therapy, it was revealed that the frequency of use of nitrates was 88.8%; antiplatelet therapy – 88.2%; narcotic analgesics – 82.3%; anticoagulants – 67.3%; β-blockers – 18.7%; oxygen therapy – 36.3%; antiarrhythmic drugs – 6.4%, fibrinolytic therapy was carried out only in 8.9% of patients. Conclusions: at the prehospital stage, patients with myocardial infarction received sufficient medical care in accordance with clinical recommendations.
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M. I. Lityushkina (2025) studied this question.
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