Science Links Japan | Emergency Cardiac Care for Acute Coronary Syndromes after the Commencement of Emergency Medical Center in Kagawa Medical University Hospital.

Emergency Cardiac Care for Acute Coronary Syndromes after the Commencement of Emergency Medical Center in Kagawa Medical University Hospital.

Accession number;03A0196700

Title;Emergency Cardiac Care for Acute Coronary Syndromes after the Commencement of Emergency Medical Center in Kagawa Medical University Hospital.

Author; KONO MASAKAZU (Kagawa Medical Univ., Univ. Hospital, JPN) OMORI KOJI (Kagawa Medical Univ., Univ. Hospital, JPN) OGURA SHINJI (Kagawa Medical Univ., JPN) MAEKAWA NOBUHIRO (Kagawa Medical Univ., JPN) YAMASHITA YOICHI (Kagawa Med. Sch.) MAETA HAJIME (Kagawa Med. Sch.) OKAWA MOTOOMI (Kagawa Med. Sch.) TAKAIWA TAKASHI (Kagawa Medical Univ., Univ. Hospital, JPN) TANABE MASATADA (Kagawa Medical Univ., JPN)

Journal Title;Prog Med

Journal Code:F0664B

ISSN:0287-3648

VOL.23;NO.2;PAGE.762-767(2003)

Figure&Table&Reference;FIG.10, TBL.1, REF.16

Pub. Country;Japan

Language;Japanese

Abstract;The Emergency Medical Center of Kagawa Medical University Hospital was established on November 1st, 2001. Clinical backgrounds, treatment and prognosis of the administered patients with acute coronary syndromes (ACS) during the past 10 months since the establishment were discussed. The number of inpatients with acute myocardial ingarction markedly increased. And the number of coronary intervention also markedly increased. Sixty percent of patients with ACS was administered to our department via the Center. Although most of the ACS patients were middle-aged and elderly men, the ratios of men to women decreased in elderly patients. The major risk factors of our ACS patients were smoking, diabetes mellitus and hypertension. For the ACS patients, the average time between their primary care and emergency coronary angiography was 48 minutes. 75% of the ACS inpatients was treated with Percutaneous Coronary Intervention (PCI), and 6% with CABG. 79% of the ACS patients treated with PCI was administered with direct PTCA. During this period only 3 out of 51 ACS patients died within 30 days after treatment, which was 6%. The death rate of the ACS patients who were treated with PCI was 2.6%, and that of CABG was 0%. We fully considered these results and conclude that the following will possibly lower the death rate of ACS patients and improve their prognosis: 1. it is crucial that ACS patients should be given proper and prompt primary lifesaving care by emergency doctors. 2. it is also necessary that ACS patients should be diagnosed promptly by their family doctors or doctors of primary care or be administered to emergency medical centers for emergency cardiac care. (author abst.)

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