急性心筋梗塞の初期治療 : 救命の連鎖

The chain of survival refers to a series of actions that, when put into motion, reduce the mortality associated with cardiac arrest. Someone must witness the cardiac arrest and immediately call to the emergency services（early access）. Bystander CPR should be provided immediately after collapse of the patient（early CPR）. Public access defibrillation may be the key to improving survival rates in out-of-hospital cardiac arrest（early defibrillation）. Patients should be transferred to specialized hospitals, which provide advanced cardiac life support（early advanced care）. In most of the cases, minimization of myocardial damage by early re-canalization is associated with better prognosis. The four interdependent links in the chain of survival is essential to reduce mortality rate in patients with acute myocardial infarction.