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Frequency of use of thrombolytic therapy in acute myocardial infarction in Israel.

Publication ,  Journal Article
Behar, S; Abinader, E; Caspi, A; David, D; Flich, M; Friedman, Y; Hod, H; Kaplinsky, E; Kishon, Y; Kristal, N
Published in: The American journal of cardiology
November 1991

Thrombolysis is now generally accepted as the initial treatment for patients with acute myocardial infarction (AMI). The extent to which this therapy is implemented in daily practice and the reasons for exclusion from thrombolytic therapy among 413 consecutive patients with AMI hospitalized in 18 coronary care units in Israel during a 1-month survey were prospectively investigated. Thrombolytic therapy administered to 145 patients (35%) was given to 38% of men versus 29% of women (p = not significant), to 38% of patients less than 75 years old compared with 18% of the very elderly (p less than 0.005), and more often to patients with a first or anterior AMI (40 and 48%) than to counterparts with recurrent or inferior AMI (23 and 31%, respectively, p less than 0.005 for both). The 2 most frequent reasons for excluding patients from thrombolysis were late arrivals to coronary care units (33%) and lack of ST elevation on the admission electrocardiogram (28%). Hospital mortality was 6% in the thrombolytic group versus 20% in patients found ineligible for thrombolysis. The significance of this difference is not clear as treatment was not randomized.

Duke Scholars

Published In

The American journal of cardiology

DOI

EISSN

1879-1913

ISSN

0002-9149

Publication Date

November 1991

Volume

68

Issue

13

Start / End Page

1291 / 1294

Related Subject Headings

  • Time Factors
  • Thrombolytic Therapy
  • Prospective Studies
  • Practice Patterns, Physicians'
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Israel
  • Incidence
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Behar, S., Abinader, E., Caspi, A., David, D., Flich, M., Friedman, Y., … Kristal, N. (1991). Frequency of use of thrombolytic therapy in acute myocardial infarction in Israel. The American Journal of Cardiology, 68(13), 1291–1294. https://doi.org/10.1016/0002-9149(91)90233-b
Behar, S., E. Abinader, A. Caspi, D. David, M. Flich, Y. Friedman, H. Hod, E. Kaplinsky, Y. Kishon, and N. Kristal. “Frequency of use of thrombolytic therapy in acute myocardial infarction in Israel.The American Journal of Cardiology 68, no. 13 (November 1991): 1291–94. https://doi.org/10.1016/0002-9149(91)90233-b.
Behar S, Abinader E, Caspi A, David D, Flich M, Friedman Y, et al. Frequency of use of thrombolytic therapy in acute myocardial infarction in Israel. The American journal of cardiology. 1991 Nov;68(13):1291–4.
Behar, S., et al. “Frequency of use of thrombolytic therapy in acute myocardial infarction in Israel.The American Journal of Cardiology, vol. 68, no. 13, Nov. 1991, pp. 1291–94. Epmc, doi:10.1016/0002-9149(91)90233-b.
Behar S, Abinader E, Caspi A, David D, Flich M, Friedman Y, Hod H, Kaplinsky E, Kishon Y, Kristal N. Frequency of use of thrombolytic therapy in acute myocardial infarction in Israel. The American journal of cardiology. 1991 Nov;68(13):1291–1294.
Journal cover image

Published In

The American journal of cardiology

DOI

EISSN

1879-1913

ISSN

0002-9149

Publication Date

November 1991

Volume

68

Issue

13

Start / End Page

1291 / 1294

Related Subject Headings

  • Time Factors
  • Thrombolytic Therapy
  • Prospective Studies
  • Practice Patterns, Physicians'
  • Myocardial Infarction
  • Middle Aged
  • Male
  • Israel
  • Incidence
  • Humans