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Reduction in time delays in administering thrombolytic therapy in acute myocardial infarction
  1. S COCCOLINI,
  2. A MARESTA
  1. M S GOTSMAN,
  2. A T WEISS
  1. Department of Cardiology
  2. S. Maria delle Croci Hospital
  3. via Missiroli n.10—48100 Ravenna, Italy
  4. Department of Cardiology
  5. Hadassah University Hospital
  6. POB 12000—91120 Jerusalem, Israel

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Editor,—Rao and Joseph’s correspondence inHeart 1 highlighted the reduction in time to administration of thrombolytic therapy by direct admission of patients with suspected acute myocardial infarction to the coronary care unit (CCU) by ambulance staff who had been trained in reading ECGs.

There are four models for admission to hospital of patients with suspected acute myocardial infarction:

(1)  The patient is evaluated in the A&E department where the first ECG is recorded, then the patient is admitted to …

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