The objectives of this study were to evaluate the time delays between the onset of symptoms and admission to hospital and provision of thrombolytic therapy in @entity1 with suspected @entity583 ; and to examine the accuracy of the clinical diagnosis and the therapeutic decision on thrombolysis in these @entity1 . An observational study of 96 @entity1 with suspected @entity583 was undertaken over a period of 15 months in the Coronary Care Unit of Hospital Kuala Terengganu. Seventy per cent of the @entity1 arrived in the hospital within 6 hours of the onset of symptoms. After arrival in the emergency room, it took a median time of 85 minutes before the administration of thrombolytic therapy. Of the 67 @entity1 who were given thrombolysis, 46 were treated within 6 hours of the onset of symptoms. About a quarter of @entity1 said that they had delayed seeking treatment at the hospital. Treatment delays occurring in the hospital were mainly due to admission procedures as well as late diagnosis. Eighty-one @entity1 had confirmed @entity583 of whom 59 received thrombolytic therapy. Eight @entity1 receiving thrombolytic therapy had no confirmation of @entity583 . Improvements in diagnostic accuracy and @entity353 in the provision of thrombolytic therapy could be achieved by better training of health care staff as well as by further streamlining of admission procedures.

Delays in thrombolytic therapy in XXXX : an audit from the east coast of peninsular Malaysia.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction', 'acute myocardial infarction', 'myocardial infarctions'] @entity353 :: ('MESH:D015431', 'Disease') :: ['reduction of delays']
@entity583 :: (MESH:D009203,Disease) :: ['acute myocardial infarction']
