تعيين فاصله زماني شروع درد انفاركتوس قلبي تا تجويز استرپتوكيناز

TIME INTERVAL FROM BEGINNING OF CHEST PAIN OF INFARCTION TO STREPTOKINASE INFUSION

Myocardial infarction is the most common cause of death in many countries, including Iran. Thrombolytic drugs, like streptokinase can , dissolve the clot in coronary arteries, and decrease mortality of MI. These drugs are very useful, if they are given to the patients in first hour of beginning of MI. We evaluated the time duration between beginning of the chest pain of MI and infusion of streptokinase and also evaluated some causes of delay. We studied 60 patients (85% of the patients were male and 15% were female and average of age in the female was 64.4 and in the male was 56.5%) with acute myocardial infarction, and measured the time between beginning of chest pain and arrival to the hospital and infusion of streptokinase. The mean time duration between begining of chest pain and arrival to the hospital was 106 minutes and between arrival to streptokinase infusion was 51 minutes. The total time duration was 157 minutes. In this study, age and sex had no significant effect on time duration. The most common causes of out of hospital delay were lack of accessibility, far away from medical centers, unawareness of general papulation on importance of chest pain, and self treatment of patients. The most common causes of in hospital delay were: delay in taking ECG, delay in decision by doctors, and some other causes. We hope with education of general papulation, providing accessibility and education of medical and paramedical team, this time interval becomes shorter progressively.