J Korean Soc Emerg Med.  1997 Dec;8(4):513-519.

A Study on Diagnosis and Treatment of Acute Myocardial Infarction

• Park CS
• Cho J
• Choi WI
• Ahn YH
• Lee DP

Abstract

As the incidence of acute myocardial infarction been increasing with prolongation of life spans, improvement in foods and life styles in Korea, rapid diagnosis and treatment is critical in survival of acute myocardial infarction patient. Most of the acute myocardial infarction result from atherosclerotic plaque forming thrombus and occlusion of coronary artery. Because early thrombolytic therapy is important to maintain the left ventricular function and survival rate, there have been many trials to reperfuse the occluded coronary artery. We have studied the many aspects of acute myocardial infarction such as sex, age, infarction site, chief complaints, change of ECG, change of serum enzyme, time delay on emergency room arrival, and compared the effectiveness of thrombolytic therapy. Total number of patient was 212, and males were 141(66.5%) and females were 71(33.5%). The most common infarction site was ant, fuel wall(102 cases,48%)of the heart and the most common chief complaint was chest pain(204 cases,97%). Among the 106 patients who received thrombolytic therapy, 101 patients(95%) had survived and 5 patients(5%) had died. Among the 64 patients who didn't receive thrombolytic therapy, 56 patients (87.5%) were alived and 8 patients(12.5%) were dead.

MeSH Terms

Ants
Coronary Vessels
Diagnosis*
Electrocardiography
Emergency Service, Hospital
Female
Heart
Humans
Incidence
Infarction
Korea
Life Style
Life Support Care
Male
Myocardial Infarction*
Plaque, Atherosclerotic
Survival Rate
Thorax
Thrombolytic Therapy
Thrombosis
Ventricular Function, Left