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Master thesis

Evaluation de la prise en charge du syndrome coronarien aigu avec élévation du segment ST dans le département de la Meuse en 2008

Abstract : The object of this work is the analysis of the healthcare in the coronary syndrome with permanent rise in the segment ST in Meuse in 2008 and more particularly on the north of the department. The geographical characteristics of this department make that the use of the thrombolysis is frequent. Indeed, on the 46 patients included into 2008, 29 profited from the thrombolysis (either nearly 65%). In 60% of the cases, the thrombolysis allowed a coronary reperfusion and the patients were allowed in intensive care of cardiology instead of an admission in room of angioplasty. These results are comparable with those obtained in the literature. No major hemmorhagic event has occurred after thrombolysis administration. The hospital of Verdun drew up a protocol of healthcare with the service of cardiology of Metz-Bonsecours. This work shows that this protocol is respected in 90% of the cases as regards the choice of the strategy of reperfusion and in 65% of the cases with regard to the therapeutic auxiliary ones, lack of adequacy which relates to the choice between unfractionnated heparin and low molecular weight heparin with 35% of unfractionnated heparin regulation whereas the protocol envisaged the heparin of low molecular weight. It shows, if need be, the need for continuing education of emergency physicians because the practices change and the healthcare of the myocardial infarction apart from the services of cardiology in is a good example.
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https://hal.univ-lorraine.fr/hal-01732528
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  • HAL Id : hal-01732528, version 1

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Jean-Philippe Kern. Evaluation de la prise en charge du syndrome coronarien aigu avec élévation du segment ST dans le département de la Meuse en 2008. Sciences du Vivant [q-bio]. 2010. ⟨hal-01732528⟩

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