caa a22 4500 606240470 CHVBK 20210128101308.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00508-015-0717-7 doi (NATIONALLICENCE)springer-10.1007/s00508-015-0717-7 Improvement in prehospital time in acute coronary syndrome between 1985 and 2013 in the south-eastern area of Hungary [Elektronische Daten] [Laszlo Mark, Gyӧzӧ Dani, Robert Vendrey, Janos Ruzsa, Andras Katona] Summary: Acute coronary syndrome (ACS) is a life-threatening condition and the time-period from the onset of symptoms to the patients' arrival into the hospital has crucial importance. The authors investigated retrospectively the patients' decision time (time from the onset of the symptoms to seeking medical help) and the transport time to hospital arrival. In Hungary, it is unique of its kind that the present data can be compared to those obtained in the same area almost three decades ago. One-hundred forty-two patients (106 males and 36 females) were involved in the study, the mean age ± SD was 62.4 ± 11.3 years. The median decision time was 40min; the median hospital arrival time was 2h and 13min. These were significantly shorter than in 1985-1986. These time parameters were influenced neither by gender, age, the number of inhabitants in the patients' city, the patients' education level, the occurrence of any former coronary event in the family and nor by the fact that the type of ACS was myocardial infarction with or without ST segment elevation. During the last two and half decades both the decision and the hospital arrival time decreased significantly (by 39 and 28 %, respectively) probably due to greater knowledge of general practitioners and the better organized ambulance service. Further improvement is needed; this can be expected by consistent education of the patients. Springer-Verlag Wien, 2015 Acute coronary syndrome nationallicence Percutaneous coronary intervention nationallicence Prevention nationallicence Prehospital time nationallicence Mark Laszlo 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut Dani Gyӧzӧ 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut Vendrey Robert 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut Ruzsa Janos 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut Katona Andras 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut Wiener klinische Wochenschrift Springer Vienna 127/5-6(2015-03-01), 218-221 0043-5325 127:5-6<218 2015 127 508 https://doi.org/10.1007/s00508-015-0717-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 brief-communication jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00508-015-0717-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mark Laszlo 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut NATIONALLICENCE 700 1- Dani Gyӧzӧ 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut NATIONALLICENCE 700 1- Vendrey Robert 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut NATIONALLICENCE 700 1- Ruzsa Janos 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut NATIONALLICENCE 700 1- Katona Andras 2nd Department of Internal Medicine-Cardiology, Pandy Kalman Bekes County Hospital, Semmelweis u. 1., P.O. Box 46, 5701, Gyula, Hungary aut NATIONALLICENCE 773 0- Wiener klinische Wochenschrift Springer Vienna 127/5-6(2015-03-01), 218-221 0043-5325 127:5-6<218 2015 127 508