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European Heart Journal 1988 9(2):118-124;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Potential time saving with pre-hospital intervention in acute myocardial infarction

European Myocardial Infarction Project (E.M.I.P) Sub-Committee*

Received 20 January 1987; revised 13 July 1987; .

Reprint requests to- Alain Leizorovicz. M.D. Unite de Pharmacologic Clinique, 162 avenue Lacassagne. 69424. L>on Cedex 03. France.

Abstract

The European Myocardial Infarction Project (E.M.I.P.) participants have evaluated out-of-hospital coronary care services in different cities within the E.E.C. and concluded that these facilities would support a study within these European centres on pre-hospital intervention in myocardial infarction. Based on a pilot study of 2443 patients with suspected myocardial infarction, simple criteria based on chest pain and first ECG finding have been defined to allow selection of out-of-hospital patients for a trial of pre-hospital drug evaluation. Pre-hospital treatment should reduce delay to intervention by about 1 h.

Key Words: Myocardial infarction • early diagnosis • time of intervention


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