Az akut coronariaszindrómák ellátásának minoségfelmérése

Zöllei Éva, Paprika Dóra, Vincze Dóra, Kovács Katalin, L. Rudas

Research output: Article

1 Citation (Scopus)

Abstract

INTRODUCTION AND METHODS - Quality monitoring activities are essential for improving the care of acute coronary patients. The aim of our study was to establish a registry and assess the adherence to widely used quality indicators. We investigated two groups of patients, those admitted to our Intensive Care Unit with Lhe diagnosis of acute myocardial infarction (Group 1) and unstable angina (Group 2). RESULTS - Group 1. consisted of 173 patients of whom 60% was eligible for thrombolysis. In 5 cases no acute reperfusion therapy was done. For reperfusion we used systemic thrombolysis in 74% and primary coronary angioplasty in 26%. The prehospital delay was 150 minutes, the "door-to- needle" time and the "door-to-balloon" time were 30 minutes and 102 minutes, respectively. 95% of the patients received aspirin, 79% beta-blocker, 82% angiotensin converting enzyme inhibitor and 39% cholesterol lowering medications. Group 2. included 84 patients, most of them had high risk features according to the Braunwald classification and the American College of Cardiology, American Heart Association guideline. Coronary angiography was performed in 80 cases. Regarding revascularization, 43 patients underwent coronary bypass surgery, 30 percutan angioplasty with stent implantation in 18. In this group aspirin was given in 82, unfractionated heparin in 9, low molecular weight heparin in 49, glycoprotein IIb/iIIa inhibitor in 15 cases. 21 patients received intravenous nitroglycerin, 70 patients beta-blocker and 57 patients cholesterol lowering drugs. DISCUSSION - Quality management is extremely useful in assessing our practice, our shortcomings and developments.

Original languageHungarian
Pages (from-to)488-492
Number of pages5
JournalLege Artis Medicinae
Volume12
Issue number8
Publication statusPublished - okt. 2002

Fingerprint

Acute Coronary Syndrome
Angioplasty
Aspirin
Reperfusion
Cholesterol
Low Molecular Weight Heparin
Unstable Angina
Nitroglycerin
Coronary Angiography
Angiotensin-Converting Enzyme Inhibitors
Needles
Stents
Intensive Care Units
Registries
Heparin
Glycoproteins
Myocardial Infarction
Guidelines
Pharmaceutical Preparations

Keywords

  • Acute myocardial infarction
  • Quality indicators
  • Unstable angina

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Éva, Z., Dóra, P., Dóra, V., Katalin, K., & Rudas, L. (2002). Az akut coronariaszindrómák ellátásának minoségfelmérése. Lege Artis Medicinae, 12(8), 488-492.

Az akut coronariaszindrómák ellátásának minoségfelmérése. / Éva, Zöllei; Dóra, Paprika; Dóra, Vincze; Katalin, Kovács; Rudas, L.

In: Lege Artis Medicinae, Vol. 12, No. 8, 10.2002, p. 488-492.

Research output: Article

Éva, Z, Dóra, P, Dóra, V, Katalin, K & Rudas, L 2002, 'Az akut coronariaszindrómák ellátásának minoségfelmérése', Lege Artis Medicinae, vol. 12, no. 8, pp. 488-492.
Éva Z, Dóra P, Dóra V, Katalin K, Rudas L. Az akut coronariaszindrómák ellátásának minoségfelmérése. Lege Artis Medicinae. 2002 okt.;12(8):488-492.
Éva, Zöllei ; Dóra, Paprika ; Dóra, Vincze ; Katalin, Kovács ; Rudas, L. / Az akut coronariaszindrómák ellátásának minoségfelmérése. In: Lege Artis Medicinae. 2002 ; Vol. 12, No. 8. pp. 488-492.
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