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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
[Treatment of myocardial infarction--current status at Norwegian hospitals]
G Stene-Larsen1, A Bjørndal, P F Hjort
1Avdeling for helsetjenesteforskning, SIFF, Oslo.
Insights
Norwegian hospitals provide standardized myocardial infarction care, utilizing heparin, salicylic acid, and streptokinase. Early rehabilitation and short hospital stays are common, reflecting modern treatment principles across the country.
Area of Science:
- Cardiology
- Public Health
Context:
- Myocardial infarction (MI) management routines were surveyed across all Norwegian hospitals.
- Standard treatments include heparin and salicylic acid.
- Streptokinase is used for acute MI, and beta-blockers for secondary prevention.
Purpose:
- To document current practices in the examination, treatment, and follow-up of myocardial infarction patients in Norway.
- To assess the uniformity of MI care across different hospital sizes and regions.
Summary:
- Hospitals commonly administer heparin and salicylic acid for MI.
- Acute coronary by-pass surgery is available for unstable angina in 90% of hospitals.
- Hospitalization is brief (7-10 days), with progressive rehabilitation programs promoting early discharge.
Impact:
- Norwegian MI care aligns with contemporary medical guidelines.
- Treatment protocols show consistency nationwide, irrespective of hospital size or location.
- Emphasis on early rehabilitation and discharge contributes to efficient patient management.
Abstract:
Present routines for examination, treatment and follow-up of myocardial infarction were registered at all hospitals in Norway. Heparin and salicylic acid are given as standard treatment. Streptokinase is given regularly to patients with a short case-history, while beta-blockers are used mostly in secondary prevention. Patients with unstable angina pectoris are offered acute coronary by-pass operation in 90% of the hospitals. The hospitalization period is short, varying from approximately ten days for patients with large myocardial infarctions, to seven days for patients with small infarctions. Most hospitals have a progressive rehabilitation program which stimulates early discharge of the patients. In general, Norwegian hospitals follow "modern" principles in the treatment of myocardial infarction. The routines are fairly similar in small and large hospitals, and in various parts of the country.
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