The role of the general practitioner in the early management of acute myocardial infarction
The recent literature on intensive coronary care units is briefly reviewed to show that much of the new knowledge should be applied by the general practitioner who is in the most important position, being the first doctor to see the patient. A much greater responsibility now rests on the GP whose attitude and management require considerable re-orientation.
A regime for the use of lignocaine and atropine is suggested for the treatment of the minor premonitory arrhythmias in an attempt to prevent the fatal major arrythmias, which are mainly responsible for the high early death rate.
By better appreciation of the emergency situation, better decision making and the application of a few therapeutic rules to prevent major arrythmias, it is hoped that the GP will play a major role in reducing the mortality of acute myocardial infarction.
Copyright remains in the Author’s name. The work is licensed under a Creative Commons Attribution - Noncommercial Works License. Authors are required to complete and sign an Author Agreement form that outlines Author and Publisher rights and terms of publication. The Agreement form should be uploaded along with other submissions files and any submission will be considered incomplete without it [forthcoming].
Material submitted for publication in the SAMJ is accepted provided it has not been published or submitted for publication elsewhere. Please inform the editorial team if the main findings of your paper have been presented at a conference and published in abstract form, to avoid copyright infringement. The SAMJ does not hold itself responsible for statements made by the authors.
Previously published images
If an image/figure has been previously published, permission to reproduce or alter it must be obtained by the authors from the original publisher and the figure legend must give full credit to the original source. This credit should be accompanied by a letter indicating that permission to reproduce the image has been granted to the author/s. This letter should be uploaded as a supplementary file during submission.