An outcome study of out-of-hospital cardiac arrest using the Utstein template--a Japanese experience.

Publication of the Utstein style template has made it possible to evaluate and compare national, regional, and hospital based Emergency Medical Services. This research was a national investigation to present outcome data for out-of-hospital cardiac arrest (OHCA) patients in Japan. 3029 OHCA patients who were transported to 10 Emergency and Critical Care Medical Center from November 1997 to April 1999 were recorded according to the Utstein style and the outcome evaluated by logistic regression analysis.

Hemodynamic effects and pharmacokinetics of oral milrinone for short-term support in acute heart failure.

The present study evaluated the acute hemodynamic response, effects on subjective symptoms and physical findings, and the pharmacokinetics of a single oral dose (2.5, 5, or 10 mg) of milrinone in 31 patients with acute or decompensated heart failure. We found a significant increase in cardiac index (29, 31, and 29%, respectively, p < 0.

[A case of subarachnoid hemorrhage with sick sinus and advanced AV block].

A 35-year-old man was hospitalized after a sudden onset of transient syncopal attack without accompanying complaints of headache or nausea. He was slightly disorientated but neurologically normal. He had a blood pressure of 150/90mmHg and a pulse rate of 40/min.

[The evaluation of the therapeutic effect on acute myocardial infarction by radioisotope method--assessment of the intravenous injection of urokinase and comparison with the results of PTCR + PTCA].

The therapeutic effect of intravenous injection of Urokinase (UK method) on acute myocardial infarction (AMI) was studied and compared with the results of the therapeutic effect of PTCR + PTCA. The subjects comprise 108 cases with AMI, and a radioisotope examination was performed in the acute stage to calculate LVEF and Tl-defect ratio (Tl-DR). Measured by the UK method, Tl-DR in the group given 1.

Current status of prehospital care of patients with acute myocardial infarction in Tokyo: analysis of 3-year experience with coronary care unit network.

To clarify the current status of prehospital care of patients with acute myocardial infarction (AMI) in the Tokyo metropolitan area, the availability of the coronary care unit (CCU) network during the past 3 years (January 1982 through December 1984) was analyzed, examining: final diagnosis, circumstances at the onset of AMI, course of transportation to CCU, time elapsed before admission, severity of AMI, and prognosis of patients. Of 6,939 patients admitted to CCU by means of the CCU network, 2,408 patients (34.7%) had AMI.