Coronary Thrombolysis: Suggestions For Pakistan

Abstract

The pathogenesis has long been subject strong evidence that caused by coronary thr occlusions’ being rather are permanent. It has been shown that the quantity of myocardium lost is less if the coronary occlusion is relived early.There is now myocardial infarctions embosses, some of these temporary while most n shown that the quantii s less if the coronary early.In Pakistan with the high incidence of coron ary artery disease, coronary thrombolysis has much to offer in early management of myocardial infarction. The benefits of coronary thrombolysis depend on the speed of initiation of therapy after the onset of symptoms. The difficulty of rapid access for the population as a whole to hospital based acute medical services is a problem. However, for the urban population access to emergency departments is easier. Early presentat ion will be greatly enhanced by education of the population to recognise the symptoms of acute myocardial ischaemiaor infarction.

CONCLUSIONS:
1. Thrombolytic therapy can be safely administered to patients with acute myocardial infarction in a district general hospital.
2. In order to expedite the arrival of patient in the emergency department and early institut ion of thrombolytic therapy, health education of general population to recognise symptoms of myocarcfiaj ischaemia should be a priority.

3. It is important to emph practitioners and hospital doe the importance of early throm as part of the management of infarction management.