Why the study?
Does general practitioner assessment accurately determine the suitability of thrombolytic therapy in patients with suspected acute myocardial infarction?
Population
137 patients presenting with chest pain who required direct admission to the coronary care unit.
Comparison
General practitioner's clinical decision to give… vs Prescription of thrombolytic therapy in the…
Design
Cross-sectional
Authors
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GP assessment of thrombolytic need in suspected AMI warrants caution; cross-sectional data leave open whether ECG integration or training improves accuracy.
Does general practitioner assessment accurately determine the suitability of thrombolytic therapy in patients with suspected acute myocardial infarction?
General practitioners' diagnostic accuracy for prescribing thrombolytic therapy in suspected acute myocardial infarction is suboptimal (71.5%), and the use of ECGs by GPs did not improve diagnostic accuracy.
Gemmill et al. (1993) studied this question.
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