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Pre-Hospital Reperfusion Strategies to Optimize Outcomes in Acute Myocardial Infarction

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Intensive Care Medicine

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Abstract

The management of acute myocardial infarction (AMI) has improved dramatically in recent years, with significant reductions in mortality. However, the 1-month mortality rate following AMI remains 10–50%, with the majority of these deaths occurring in the first hours after onset of pain [1, 2]. Data from a German registry in the MONItor trends in CArdiovascular diseases (MONICA) project show that, of the patients with AMI who die, 28% die within 1 hour of symptom onset, 38% die within 4 hours, and 46% within the first 24 hours [3].

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  1. P. Goldstein
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Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent MD, PhD, FCCM, FCCP (Head) (Head)

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Goldstein, P. (2003). Pre-Hospital Reperfusion Strategies to Optimize Outcomes in Acute Myocardial Infarction. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-5548-0_39

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  • DOI: https://doi.org/10.1007/978-1-4757-5548-0_39

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