Tag Archives: acs

Oxygen in AMI – no benefit, possible harm

Posted on June 20, 2010 by Cliff Reid

A Cochrane review examined the evidence from randomised controlled trials to establish whether routine use of inhaled oxygen in acute myocardial infarction (AMI) improves patient-centred outcomes, the primary outcomes being death, pain and complications. Three trials involving 387 patients were included … Continue reading →

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Stopping infusions before PCI transfer

Posted on March 14, 2010 by Cliff Reid

An interhospital transport service introduced a no infusions policy for patients being transferred for primary coronary intervention, instead giving a bolus of heparin and glycoprotein 2b-3a inhibitor prior to transfer, along with non-intravenous nitrates (if needed). Discontinuing infusions during transport resulted … Continue reading →

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Characteristic ECG signs of LAD occlusion without ST elevation

Posted on December 14, 2009 by Cliff Reid

In a single centre observational study over 10 years of patients undergoing acute PCI of the left anterior descending (LAD) artery, 35 of 1890 (2%) had a distinct non-ST elevation ECG pattern. The ECG showed ST-segment depression at the J-point … Continue reading →

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Ambulance transport induces stress

Posted on October 3, 2009 by Cliff Reid

Plasma levels of adrenaline and noradrenaline increased signficantly in patients with acute coronary syndrome during ambulance transportation – a finding in keeping with studies on normal volunteers. I wonder how much more of an effect helicopter retrieval might have? Emergency … Continue reading →

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