Evaluation of Door To Needle Time For Fibrinolytic Therapy of ST Elevation Myocardial Infarction (STEMI) Management In Emergency And Traumatology Department (ETD), Hospital Sultan Haji Ahmad Shah (HOSHAS), Temerloh, Pahang. Malaysia.

Authors

  • Wadiah Mustafar Medical Officer, Emergency & Trauma Dept, Hospital Sultan Haji Ahmad Shah, Temerloh, Pahang
  • Sazwan Reezal Shamsuddin Emergency Physician, Emergency & Trauma Dept, Hospital Sultan Haji Ahmad Shah, Temerloh, Pahang,
  • Amelia Amir Medical Officer, Emergency & Trauma Dept, Hospital Sultan Haji Ahmad Shah, Temerloh, Pahang

DOI:

https://doi.org/10.3329/bjms.v16i3.32864

Keywords:

ST Elevation Myocardial Infarction, STEMI, Streptokinase, fibrinolytic therapy, ECG.

Abstract

Introduction: Acute myocardial infarction is known with high mortality. The benefits of fibrinolytic administration in STEMI are time dependent. The purpose of this study is to evaluate the door-to-needle time for fibrinolytic therapy in STEMI patients.

Methods: A cross sectional study of all patients who had STEMI was carried out to evaluate the management of STEMI. The duration from door-to-ECG time, door-to-needle time and the factors that contribute to the time frame in receiving treatment was reviewed. The outcomes and complications from fibrinolytic therapy were documented as well. The outcomes of the delayed in administering the treatment were also analyzed in the study.

Result: Out of 19 patients received fibrinolytics within 30 minutes, 16 patients (84.2%) had good outcome. In 17 patients received fibrinolytics between 30 minutes to 1 hour, 6 patients (35.2%) had good outcome. In 15 patients received fibrinolytics more than 1 hour, 8 patients (53.3%) had good outcome.

Conclusion: This study showed that a shorter door-to-needle time results in better outcome.

Bangladesh Journal of Medical Science Vol.16(3) 2017 p.407-412

Downloads

Download data is not yet available.
Abstract
16
PDF
17

Author Biography

Wadiah Mustafar, Medical Officer, Emergency & Trauma Dept, Hospital Sultan Haji Ahmad Shah, Temerloh, Pahang



Downloads

Published

2017-06-09

How to Cite

Mustafar, W., Shamsuddin, S. R., & Amir, A. (2017). Evaluation of Door To Needle Time For Fibrinolytic Therapy of ST Elevation Myocardial Infarction (STEMI) Management In Emergency And Traumatology Department (ETD), Hospital Sultan Haji Ahmad Shah (HOSHAS), Temerloh, Pahang. Malaysia. Bangladesh Journal of Medical Science, 16(3), 407–412. https://doi.org/10.3329/bjms.v16i3.32864

Issue

Vol. 16 No. 3 (2017)

Section

Original Articles

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.