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Heart disease is the leading cause of death in the world of heart disease

Acute medical infection or acute medical infection It has been the cause of death of people around the world in recent years. Only in Thailand. In 2016, coronary heart disease accounted for 19,030 deaths, equaling 29.09 per 100,000 population. New cases of heart disease are 98,148 due to the incidence of 150.1 hundreds of thousands of people and the death rate increases continuously every year. In general, the general health statistics (September 16, 2018) is the number of patients with Dhami's disease at 432,943, with the mortality rate of 20,855 people every year or 2 people taking hours and treatment. The number is consistent with the large number of patients. Emergency room capacity issues that are a public health problem. Statistics for 2016 show that the prevalence of diseases in Thailand is 458: 100,000, which is higher in the United States (421: 100,000 population) than Australia (331: 100,000 population) and England. (412: 100,000 population). In Thailand, there are 35 million patients in the emergency room each year and as many as 60% are non-emergency patients (emergency accommodation service guidelines that are appropriate for the competent level medical department, Ministry of Public Health, 2019). To reduce the mortality rate of patients with nuclear ischemic myocardial infarction, it does not benefit the work of the weapon to provide emergency care and take care more urgently. Firstly whether the patients entering the emergency room are real patients or not. So very important

Professor Dr. Petit Hittin, a psychiatrist at Thomastad University Hospital Chalmerspit, has revealed that patients with heart disease have been hospitalized. Can be divided into two main groups, which are general visits and those who are undergoing emergency exams for diagnosis, care and treatment. They are treating patients with heart disease. The doctor will use the protocol to treat advanced patients. Medical background and guidelines by the American Heart Association and the European Society of Dermatology practice guidelines for the care of acute cardiovascular disease patients in Thailand. Will agree on. The patient's cause is characterized by EC and proving whether he has a heart failure or worse, by drawing blood to test for changes in blood biomarker / cardiac troponin levels, currently a high-sensitivity cardiac troponin T technique. Biomarker measurements are provided, and can be used appropriately to guide patients in engaging patients at 0 and 1 hour (0h / 1h algorithm) for patients with severe coronary heart disease. Reduces the time of diagnosis that results in muscle characteristics. With such a myopic disease, it was important to interpret the results of the changes in cardiovascular disease for 3-6 hours or so. Reduced to 1 hour

Therapeutic approaches offer at least two benefits – first, it is a significant benefit to patients. If the doctor can diagnose whether the patient has a high mortality rate or high complication, within a short period of time, the doctor will allow the next step to decide the appropriate treatment method at the same time if the blood test results contain high sensitivity Tashi Troponin. Do not show changes in T, the perception that the patient is coronary artery disease is less likely doctors will focus on finding other causes that can explain the patient's symptoms faster. 2-3 hours instead of waiting for each other. Of course, the diagnosis will be able to eliminate the unexpectedness of the catastrophe and both of them relate to the patient themselves and their relatives before the doctor.

Advantage 2: Patients are given high priority and should be treated as soon as possible or considered safe to return home safely. Doctors and emergency room staff will have more time to visit other critically ill patients. Reduce emergency room capacity and generally have a positive impact on the patient care system

MD, Emergency Directorate Associate Professor Vinchana Soyivayan Thamaist Chalarampit Hospital says that there is a cure for the problem in the hospital in the emergency room. Patients wait a week in the emergency room for diagnosis, care and treatment. This is usually due to the considerable number of patients in the ward. This problem is called an emergency department check. Patients with abdominal pain are considered to be at risk of renal disease. Getting a quick diagnosis and treatment is very important. Patients who see a doctor in an emergency, especially in patients with cardiovascular disease and having to wait a long time at a sick place, have poor outcomes, usually in the short-term, in treating patients in an emergency.

High-sensitivity cardiomyopathy can help doctors diagnose heart disease indicators of troponin T, diagnosing acute myocardial infarction patients with 0h and 1h (0h / 1h algorithm) to detect even small amounts of myocardial damage. Out of the control of doctors with cardiovascular disease in the room or on screen can help patients with a lower risk (less risk) beyond the complaint of acute medical infection, which is sure to be the answer to emergency room problems. Patients waiting in the waiting room will receive the most urgency. The doctor may be able to consider the shortest time after using the 0h / 1h algorithm, returning home with no risk, including any changes in high-sensitivity cardiac troponin T. Or if high sensitivity cardiac troponin T sensitivity changes above the cut point value of 0 and 1 hour (0h / 1h algorithm), patients will begin treatment immediately. Or it is important to take them to a hospital that will directly affect patient safety Reduce emergency and death issues in the emergency room that lead to the staffing of doctors and staff to the next emergency room.

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