We heard yesterday about the birth of coronary care units and about the enermous information that we gathered by continuous monitoring of patients and how this led to the understanding that life-threatening arrythmias occurred early in the course of the disease and that there was aq fairly rapid exponential decay in their incidence as the hours went by. The study in our area of London looking at whole community as opposed to any hospital group of patients with myocardial infarction, showed that approximately two-thirds of all deaths from myocardial infarction occur outside hospital. One of the first people to appreciate this and do something about it is sitting before us and will be talking in a moment, but Frank Pantridge started his first mobile coronary unit in 1966, and although, in Europe, I don’t think his ideas have been followed very extensively, for practical reasons in the Unietd States they certainly have. In some centers such as Seattle they have taken the coronary care right into the community, into factories, you can lift up a telephone and say: I have a pain in my chest, please come.
KeywordsAcute Myocardial Infarction Hospital Mortality Ventricular Fibrillation Cardiogenic Shock Coronary Care Unit
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