Just over half the number of patients with myocardial infarction are transported to hospital by ambulance. Currently, these patients can often be diagnosed and already start receiving treatment at the pre-hospital stage, that is, in the ambulance on the way to hospital. Optimally, acetylsalicylic acid treatment (ASA treatment) begins on site, an electrocardiogram (ECG) is transmitted to the receiving hospital and the patient is transported directly to the receiving cardiology department or PCI laboratory (percutaneous coronary intervention). Preliminary data suggests that it is not always the case that patients with myocardial infarction are received as described in the optimal case.
The study Evaluation of pre-hospital care in Västra Götaland in cases of acute myocardial infarction tests the hypothesis that among patients with acute myocardial infarction who come to hospital by ambulance, pre-hospital assessment and treatment are associated with the patient's prognosis.
Compared to thrombolysis, where a blood clot in a vessel is dissolved with the aid of drugs, there is a lack of documentation on the value of the pre-hospital care of patients with acute myocardial infarction. The present study has the potential to, in part, make pre-hospital care in cases of myocardial infarction evidence-based.