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p8M!  pn     !ob$Oae/v˨Pb$HARPb$fZfY;qn/sXb$\RmbQMb$(~,aEiJ)-`T%2$=\cd!7 0@8Ig4BdBd 0 ppp@ <42d2d|ȷ <4BdBdȷȷf\ .&___PPT9,, ,  ? %b-Acute Myocardial InfarctionTime Is Muscle Our Healthier Nationz Target: to reduce the death rate from coronary heart disease and stroke and related diseases in people under 75 years by at least two fifths by 2010 - saving up to 200,000 lives in total $ X DiagnosisDiagnosis is traditionally made on presence of two out of three of: History ECG Cardiac enzymes For the purposes of diagnosis in the Emergency Dept. only the first two criteria are useful.HDZ" Z]ZD]HistorydHistory - onset of pain within 12 hours, usually while at rest, lasting >20m and unrelieved by GTN. Re    ECG CriteriaHas varied slighlty over the past couple of years. 1mm ST in >2 contiguous limb leads (II, III, AVF, I,AVL). 2mm ST in >2 contiguous chest leads (V1-V6). New LBBB. F3y3u Posterior InfarctECG changes are: Tall R waves in V1 and V2 and ST depression in V1-V3. The diagnosis can be confirmed by performing an ECG with posterior leads. Thrombolysis should be considered in this case, especially if ST depression > 2 mm.  I Posterior Infarct$General management Prehospital Oxygen therapy- continue at 2 litres/min Aspirin 300mg chewed and swallowed . If this has not occurred then administer in the ED (the only absolute contraindication is anaphylaxis!) Aspirin can be given PR if vomiting is a problem. GTN spray or Suscard Buccal (2mg or 5mg) b$  %Emergency DepartmentAspirin (as above) GTN spray or Suscard Buccal (2mg or 5mg) Diamorphine 2.5-5 mg titrated to the patients response In cases where there is continued or recurrent pain it is worth considering iv B blockers (1-10mg atenolol titrated to pain) x   y0P   | &$Contra Indications to B -Blockers %$'Heart failure Asthma or bronchospasm  !Heart block Hr<50 SBP< 90mmhg !"  Thrombolysis  Plasminogen activators convert single chain plasminogen to plasmin which degrades fibrin and so breaks up thrombi. Therapeutic effect correlates with the extent of reperfusion of the obstructed coronary artery. P    Thrombolysis 2 The open artery hypothesis posits that achieving arterial patency after acute occlusion predicts survival after MI. Improvement is greatest in patients with anterior MI or bundle branch block. Non-q-wave infarcts generally do not have a totally occlusive thrombus.9 "contraindications for thrombolysis Absolute: Thrombotic Stroke 2/12 Intracranial bleed Head Injury 2/12 Surgery/Trauma 2/12 Other Bleed 1/12 Pregnant. Recent delivery Aortic Dissection 6        h  Relative Anticoagulant therapy Prolonged/traumatic CPR Oesophageal Varices Liver Disease Active peptic Ulcer CVA with disability Sustained HTN.   7  G   Evidence  9Thrombolytic therapy is most effective in the first few minutes and hours after onset of MI, requiring rapid diagnosis. (Gusto 1). During the acute phase of q-wave MI, thrombolytic drugs reduce hospital mortality between 30 and 50%. NSF-CAD, 75% thrombolysed within 30 minutes of arrival (currently 60% in Leeds).:Z:@  A 7+#Delay Matters.Impact of prehospital delay on mortality in patients with acute myocardial infarction treated with primary angioplasty and intravenous thrombolysis. Am heart J 2001 Jul;142(1):105-11  %  2 !, q % Compared with thrombolysis, primary angioplasty is independently associated with a lower mortality rate in prehospital delays of >3 hours. The reason for this may be a time-dependent loss of efficacy to achieve reperfusion for thrombolysis but not for primary angioplasty. XZ Q m #> P l # Thrombolysis Agents    Available hereStreptoKinase tPA (Alteplase).,      qGive Strep unless: Systolic BP< 90 Previous Strep >4 days Anterior MI onset eithin 4 hours and patient <70 years._rL  !      Complications of thrombolysis ~Informed consent. The main risk of thrombolysis is haemorrhage and the patient must be made aware of this prior to treatment. (~~" P jHypotension Allergic reactions Reperfusion arrhythmias Cardiac arrest Heart block Other bleeding Vi6 `Three Part QuestionwIn acute myocardial infarction, is prehospital thrombolysis better than in-hospital thrombolysis at reducing mortality?Lx,,,?,,,,# &The Case for Pre Hospital thrombolysis Pre hospital diagnosis. Safety of intervention. Evidence of benefit. Practical issues. Financial issues. How about an alternative.The Pre- Hospital ECGAccuracy and clinical effect of of out- of hospital electrocardiography in the diagnosis of acute cardiac ischaemia. Ioannidis et al. Ann Emerg Medicine 2001 May:37(5):461-70&u9>j    kMeta Analysis. ACI 5 studies. Sensitivity 76%. Specifity 88%. AMI 8 studies. Sensitivity 68% specifity 97%.,/ $  Hard EvidenceMortality and Prehospital Throbolysis for Acute Myocardial Infarction. A meta analysis. Morrison et al. JAMA, May 24/31, 2000.  [ ~RCT s 145 studies 6 studies selected 2 authors and 2 reviewers:*! The Studies  The Results5Mean time between symptoms and start of thrombolysis &6Z5' 3Figure 2: percentage of patients dying in hospital