Why the study?
Does a mobile coronary care unit reduce mortality in patients with suspected acute myocardial infarction or out-of-hospital cardiac arrest compared to a standard ambulance?
Population
821 patients under 75 years of age requesting an ambulance for symptoms suggestive of acute myocardial…
Comparison
Hospital-based mobile coronary care unit… vs Standard ambulance (STA).
Design
RCT, Randomized by ambulance controllers to MCCU (60%) or STA (40%).
Follow-up
up to five years
Authors
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No overall mortality benefit with MCCU in suspected AMI; leaves open targeted benefit in confirmed cases alive at arrival.
Does a mobile coronary care unit reduce mortality in patients with suspected acute myocardial infarction or out-of-hospital cardiac arrest compared to a standard ambulance?
A mobile coronary care unit significantly reduced mortality in patients with confirmed AMI who were alive at ambulance arrival compared to a standard ambulance, with benefits maintained up to five years.
Wennerblom et al. (1982) studied this question.
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