[Acute XXXX management in a hospital center with emergency ambulance service and intensive care unit, without cardiac catheterization laboratory].

@entity1 @entity583
OBJECTIVES: We report our experience about @entity583 management in a small hospital with no possibility of coronarography. MATERIALS AND METHODS: In 1998, 60 @entity1 were hospitalized for @entity583 < 10 days. We studied characteristics of @entity1 , the management of @entity583 , the mortality. RESULTS: Our population consisted of 83% of @entity1 and 17% of @entity1 with a mean age of 63.5 and 74 years respectively. An out-hospital doctor was first warned by 60% of @entity1 . For hospitalization, the emergency ambulance service (SMUR) was used in 45% of cases, out-hospital doctors using these means of transport in 36% of cases. The global time of intervention was 18h30. The mean time for @entity1 managed in the first sixth hours was 2h10. A thrombolysis was applied for 35% of @entity1 (15% in prehospital that is to say 32% of "SMUR @entity1 ", and 20% in hospital). A transfer to the neighbouring university hospital for primary or rescue coronary angioplasty was decide for 41% of @entity1 . A total of 77% of our @entity1 underwent a coronarography. The global mortality at 10 days was 13.3% (< 75 years: 10.6%; > 75 years: 23%). CONCLUSIONS: A low volume centre and with no possibility of coronarography can manage the acute phase of @entity583 with results closed to those of the literature.
