Improving the management of acute myocardial infarction

摘要: The introduction of a national service framework for coronary heart disease in England and Wales was driven by evidence based medicine. Health managers argued that clinicians were not reaping the proved benefits interventions because poor organisation. One good example this is use thrombolysis acute myocardial infarction.1 delivery thrombolytic agents during infarction well recognised effective treatment, which has beneficial effects on mortality both short long term,2 earlier treatment given greater benefit. focus early administration drugs led to concept “door needle” time, with target 30 minutes, “call time 60 incorporating ambulance response time. But confusion still exists among many doctors about absolute relative contraindications thrombolysis.3 …