Symptoms and changes in acute myocardial infarction patients. Non ST-Segment Elevation. Phonsawan hospital Nakhonphanom province : case study of 2 patients.

Abstract

Objective : To study the symptoms, signs, treatment process and clinical changes in patients with non ST-Segment Elevated Myocardial Infarction (NSTEMI) who died at Phonsawan Hospital. Materials and Methods : case study research were collected in patients deaths with non-ST segment elevation acute myocardial infarction and analyzed by a cardiologist from Sakonnakhon hospital. Results : During the study period 1 January 2015 - 31 December 2017, two patients with NSTEMI died with atypical symptoms or complex of symptoms. The NSTEMI examination or treatment by a general practitioner who is not a cardiologist is difficult. It is also provided by community hospital. There may not be enough potential. There may be delays in care, diagnosis and then lead to death. Conclusions : Care for patients suspected of being a non-direct NSTEMI or other complications Should be closely monitored and monitored for changes, for example, Troponin-T is greater than 30%, on going chest pain, vital sign unstable, need ventilator support, infarction related and arrhythmia (VT: ventricular tachycardia, VF: Ventricular Fibrillation), and also be consulted with cardiologists at the hospital network to have a treatment plan or consider to refer to be cared by cardiologists. Every single case of NSTEMI patients must be admit in a hospital and should have CAG in accordance with their urgency.