1. Introduction 1.1 During the past decade the management of cardiac patients within district hospitals has changed considerably and there have been substantial increases in activity. This report develops and updates the recommendations and service standards of the first report on district hospital cardiology published by the British Cardiac Society in 1987.1
2. Staffing 4.1 Consultant cardiologists-In 1987 the British Cardiac Society recommended that each district with a population of 250 000 or more should have two consultant cardiologists, a view that was endorsed in the Fourth Report of a Joint Cardiology Committee,1984
3. Working group of the British Cardiac Society. Cardiology in the district hospital;Br Heart,1987
4. Gruppo Italiano per lo Studio della Streptochinasi nell'Infarto Miocardico (GISSI). Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction;Lancer,1986
5. Trial of tissue plasminogen activator for mortality reduction in acute myocardial infarction: Anglo-Scandinavian Study of Early Thrombolysis (ASSET);Wilcox, R.G.; von der Lippe, G.; Olsson, C.G.; Jensen, G.; Skene, A.M.; Hampton, JR;Lancet,1988