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August 26, 1989BMJOpen Access

Role of the general practitioner in managing patients with myocardial infarction: impact of thrombolytic treatment. Report of a British Heart Foundation Working Group.

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Population

Patients with suspected acute myocardial infarction in the United Kingdom

Design

Guideline

Discussion

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Overview

Demands rapid thrombolysis plus aspirin in suspected AMI; confirms mortality benefit and extends emphasis on minimizing prehospital delays.

Structured PICO

P
Population
Patients with suspected acute myocardial infarction in the United Kingdom
I
Intervention
Thrombolytic treatment combined with aspirin, and coordinated care involving general practitioners to reduce treatment delay
O
Outcome
Mortality

Highlights the crucial role of general practitioners and coordinated care in reducing delays to thrombolytic therapy for acute myocardial infarction to maximize mortality benefits.

Limitations

  • Dangers inherent in the use of thrombolytic treatment, particularly when conditions other than myocardial infarction are treated in error.

Cite This Study

A 1989 study conducted a review in myocardial infarction. Thrombolytic treatment combined with aspirin was evaluated. Thrombolytic treatment combined with aspirin reduces mortality by half in patients with suspected acute myocardial infarction if given early after symptom onset.

synapsesocial.com/papers/6a9bcf5513c692f0fc8fec97https://doi.org/10.1136/bmj.299.6698.555
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Guidelines for the early management of patients with myocardial infarction1994 · 130 citations
  2. 2Survey of general practitioners' prehospital management of suspected acute myocardial infarction1994 · 19 citations
  3. 3Time delays in provision of thrombolytic treatment in six district hospitals. Joint Audit Committee of the British Cardiac Society and a Cardiology Committee of Royal College of Physicians of London.1992 · 125 citations
  4. 4Prehospital thrombolysis2003 · 86 citations
  5. 5Improving the management of acute myocardial infarction2002 · 5 citations