Abstract
AbstractThe lethality from acute myocardial infarction (AMI) is reduced considerably by the kliest possible thrombolytic treatment. Our aim was to evaluate the use of electrocardiograms (ECGs) by general practitioners (GPs) in Denmark with respect to beginning thrombolytic treatment of AMI before admission to hospital. Based on National Health Service data, the number of ECGs performed in 150 Danish general practices was analysed. Additionally all GPs who used ECG had a telepho ne interview. ECGs were performed in 79 % of practices. Of the GPs who used ECG, 76% had a transportable ECG machine. The level of ECG activity was defined as the number of ECGs per 1 00 consultations per year. The ECG-activity increased significantly with increasing work-load in single practices and with the size of practice in partnership practices, but it did not depend on other activities in general. At least 63 % of the GPs were positive towards a possible pre-hospital treatment given by GPs. In summary, the indications for th...
Published Version
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