A survey on the line of management of myocardial infarction patients by the primary health care physicians in Puducherry.
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 9
Abstract
Myocardial Infarction (MI) is the common cause of the mortality globally. If prompt treatment/referral is initiated within 90 minutes of development of infarction, the mortality rate can be minimized almost to 3%. Whenever patients develop any acute illness including chest pain, they usually attend the clinic of family physician first that are easily accessible to them. Therefore the role of family physician in management of MI is very significant. Hence a survey based on a validated questionnaire was conducted among general practitioners of Puducherry. It was observed from the survey that 93% of family physicians are aware of the importance of early administration of aspirin as a prehospital medication. However about 41% of physicians informed that they use enteric coated aspirin and not soluble aspirin. With regard to referring the patient for catheterization laboratory, 58% of physicians only felt that 3 hours as a maximum period. Only 21% of physicians preferred to use morphine as analgesic while the rest suggested drugs such as tramadol, diclofenac, aspirin, pentazocine, paracetamol and pethedine as alternatives to morphine. Most of physicians felt that non availability of morphine is due to stringent regulations and it is the main reason for not using the same. Streptokinase was preferred thrombolytic for 29% of physicians and tenecteplase was preferred by 35%. From our present survey we feel that continuing medical education programs on MI pertaining to use of analgesics, referral time limit to Primary Percutaneous coronary intervention (PPCI) and use of most effective thrombolytic may be organized for primary care physicians so that timely management by them can reduce the mortality in MI significantly
Authors and Affiliations
M Thulasimani, S Amarnath, Arun Sharma
Keywords
Related Articles
- EP ID EP614781
- DOI -
- Views 187
- Downloads 0
The right to euglycemia; the responsibility for glucophylaxis
Every Indian citizen enjoys the right to life, and to health. These rights, enshrined in our constitution, form the bed rock of our national vision and philosophy. In their endeavor to fulfil these obligations, public he...
Epidermoid cyst of the spleen a case report
Splenic cysts are rare entities. Epidermoid cysts of the spleen constitute 10% of total splenic cysts. These cysts are more common in children and young adults. We report a case of 21 year-old female who presented with l...
A cross-sectional study of coagulation parameters in normal and high risk pregnancy
To asses coagulation parameters Prothrombin time, Activated Partial Thromboplastin Time, Thrombin Time, D-dimer in pregnant women. A cross sectional study of 282 patients attending antenatal outpatient department at AIIM...
Topical heparin for infusion associated superficial thrombophlebitis : A preventive approach
Maintaining a single indwelling intravenour (IV) catheter for a long duration is limited mainly due to the development of superficial thrombophlebitis. This, we decided to evaluate the efficacy and safety of heparin sodi...
Oculo-auricular-fronto-nasal syndrome a new entity
We describe a unique combination of fronto nasal malformations and oculo auricular vertebral syndrome without any vertebral defects and with bilateral involvement of eyes. The oculo auricular vertebral syndrome manifests...