RT Journal Article
SR Electronic
T1 The Primary Care Physician And Thrombolytic Therapy For Acute Myocardial Infarction: Comparison Of Intravenous Streptokinase In Community Hospitals And The Tertiary Referral Center
JF The Journal of the American Board of Family
                Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 1
OP 6
DO 10.3122/jabfm.3.1.1
VO 3
IS 1
A1 Taylor, George J.
A1 Song, Anly
A1 Moses, H. Weston
A1 Koester, Deborah L.
A1 Mikell, Frank L.
A1 Dove, James T.
A1 Katholi, Richard E.
A1 Wellons, Harry A.
A1 Schneider, Joel A.
YR 1990
UL http://www.jabfm.org/content/3/1/1.abstract
AB From September 1982 through December 1987, 1012 patients were treated with intravenous streptokinase within 6 hours of acute myocardial infarction. Most of them (816/1012, 81 percent) were treated in community hospitals by primary care physicians. The remaining 196 (19 percent) were treated in the referral center, usually by a cardiologist. Cardiac catheterization within 2 days showed an open infarct artery in 87 percent of the community hospital and 83 percent of the referral center patients (P = NS). Predischarge ejection fraction was similar for community hospital and referral center patients (49 percent ± 14 percent versus 51 percent ± 14 percent, respectively), and there was a similar rate of bleeding complications (10 percent versus 13 percent, respectively). We conclude that primary physicians can use intravenous streptokinase effectively and safely in the treatment of patients in community hospitals.