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British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1987 Feb 7;294(6568):352–354. doi: 10.1136/bmj.294.6568.352

One thousand heart attacks in Grampian: the place of cardiopulmonary resuscitation in general practice.

G R Pai, N E Haites, J M Rawles
PMCID: PMC1245359  PMID: 3101873

Abstract

The outcome of 1011 heart attacks in patients under the care of general practitioners who practised cardiopulmonary resuscitation and were equipped with defibrillators is reported. The 28 day mortality was 36% (367 patients), and 59% of deaths occurred outside hospital. The general practitioner was the first medical contact in 92% of heart attacks and was equipped with a defibrillator in 80% of such calls. Fifty six patients had a cardiac arrest in the presence of a general practitioner, and resuscitation was attempted in 47 cases, representing 5% of all calls for heart attacks. Twenty one (45%) resuscitated patients reached hospital alive, and 13 (28%) survived to leave hospital. The opportunities for cardiopulmonary resuscitation in general practice occur sufficiently often to warrant training and equipping general practitioners for advanced life support. The results of resuscitation by general practitioners working alone compare favourably with those of mobile coronary care units based in hospitals.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Armstrong A., Duncan B., Oliver M. F., Julian D. G., Donald K. W., Fulton M., Lutz W., Morrison S. L. Natural history of acute coronary heart attacks. A community study. Br Heart J. 1972 Jan;34(1):67–80. doi: 10.1136/hrt.34.1.67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Editorial: Shellfish and public health. Br Med J. 1976 Jul 3;2(6026):1–2. [PMC free article] [PubMed] [Google Scholar]
  3. Jones R. H. Management of cardiac arrest in the community: a survey of resuscitation services. Br Med J (Clin Res Ed) 1983 Oct 1;287(6397):968–971. doi: 10.1136/bmj.287.6397.968. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. McNamee B. T., Robinson T. J., Adgey A. A., Scott M. E., Geddes J. S., Pantridge J. F. Long-term prognosis following ventricular fibrillation in acute ischaemic heart disease. Br Med J. 1970 Oct 24;4(5729):204–206. doi: 10.1136/bmj.4.5729.204. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. McNeilly R. H., Pemberton J. Duration of last attack in 998 fatal cases of coronary artery disease and its relation to possible cardiac resuscitation. Br Med J. 1968 Jul 20;3(5611):139–142. doi: 10.1136/bmj.3.5611.139. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Myerburg R. J., Conde C. A., Sung R. J., Mayorga-Cortes A., Mallon S. M., Sheps D. S., Appel R. A., Castellanos A. Clinical, electrophysiologic and hemodynamic profile of patients resuscitated from prehospital cardiac arrest. Am J Med. 1980 Apr;68(4):568–576. doi: 10.1016/0002-9343(80)90307-1. [DOI] [PubMed] [Google Scholar]
  7. Rawles J. M., Kenmure A. C. The coronary care controversy. Br Med J. 1980 Sep 20;281(6243):783–786. doi: 10.1136/bmj.281.6243.783. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Rawlins D. C. Study of the management of suspected cardiac infarction by British immediate care doctors. Br Med J (Clin Res Ed) 1981 May 23;282(6277):1677–1679. doi: 10.1136/bmj.282.6277.1677. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rowley J. M., Hampton J. R. Diagnostic criteria for myocardial infarction. Br J Hosp Med. 1981 Sep;26(3):253, 255-6, 258. [PubMed] [Google Scholar]
  10. White N. M., Parker W. S., Binning R. A., Kimber E. R., Ead H. W., Chamberlain D. A. Mobile coronary care provided by ambulance personnel. Br Med J. 1973 Sep 22;3(5881):618–622. doi: 10.1136/bmj.3.5881.618. [DOI] [PMC free article] [PubMed] [Google Scholar]

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