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Recent News and Articles on the Keywords: heart attack + falling mortality + heart  Related to the article below (Last Update: 7/8/2008)


ChartAttack
Reviews: My Chemical Romance, Tricky, The Watson Twins and more
ChartAttack, Canada - Jul 2, 2008
Tricky's baring his heart on this one. Unfortunately, the pain in his heart is matched by the pain in my ears. (Of particular note to shitty alternative DJs ...
Stimulation of Lung Innate Immunity Protects Against Lethal ...
RedOrbit, TX - Jun 17, 2008
Nontypeable Haemophilus influenzae (NTHi) was stored as frozen stock (1 x 10^sup 7^ cfu/ml) in 20% glycerol in brain-heart broth (Acumedia, Lansing, ...
Take Two Aspirin and Call Your Architect in the Morning
Miller-McCune.com, CA - Jun 18, 2008
When you have a heart attack victim, you don?t want to be hunting the hallways for the resuscitation cart. I have a patient in distress, and we?re taking up ...
Source: Google News

INTERNATIONAL TRENDS IN CORONARY HEART DISEASE MORTALITY, MORBIDITY, AND RISK FACTORS -
R BEAGLEHOLE - Epidemiologic Reviews, 1990 - Soc Epidemiolc Res
... The fall in coronary heart disease mortality rates in Japan ... reference no.) Population
Time period CHD mortality Sudden deaths ... Worcester Heart Attack Study (47) ...

Are Medical Prices Declining? Evidence from Heart Attack Treatments* -
DM Cutler, M McClellan, JP Newhouse, D Remler - Quarterly Journal of Economics, 1998 - MIT Press
... the cost of living index relative to the GDP deflator?is actually falling by about
1 ... D ATA We focus our empirical analysis on the price of heart attack care. ...

Pricing Heart Attack Treatments -
DM CUTLER, JP NEWHOUSE, MB MCCLELLAN, D REMLER - NBER Working Paper, 1999 - papers.ssrn.com
... 1991. Mortality is an important outcome for heart attack care, and it is also
relatively easy to ... exercise) so that heart attack rates are falling in the ...

[CITATION] Using Claims Data to Examine Mortality Trends Following Hospitalization for Heart Attack in Medicare -
AS Ash, MA Posner, J Speckman, S Franco, AC Yacht, … - Health Services Research, 2003 - Blackwell Synergy
... mortality following hospitalization for heart attack (acute myocardial ... Post-AMI
mortality for program beneficiaries decreased ... and early 1990s, falling to below ...

… glutamyltransferase: Determinants and Association with Mortality from Ischemic Heart Disease and All … -
G Wannamethee, S Ebrahim, A Gerald Shaper - American Journal of Epidemiology, 1995 - Oxford Univ Press
... or who recalled a doc- tor's diagnosis of a myocardial infarction ("heart attack"). ...
Gamma-glutamyltransferase, Ischemic Heart Disease, and Mortality 701 ...

… Time Trends in Cardiovascular Disease Incidence and Mortality: the Framingham Heart Study, 1950-1989 -
PA Sytkowski, RB D'Agostino, A Belanger, WB Kannel - American Journal of Epidemiology, 1996 - Oxford Univ Press
... while a reduction in coronary heart disease mortality ... curves for cardiovascular disease
mortality were significant ... difference was even greater, falling from 35 ...

Sex Differences in Coronary Heart Disease Why Are Women So Superior? The 1995 Ancel Keys Lecture -
E Barrett-Connor - Circulation, 1997 - Am Heart Assoc
... was associated with an increased risk of heart attack in women. ... expect an effect
of age on heart disease risk ... the last menstrual period and the fall in estrogen ...

… and Atherogenic Activity of Blood Mononuclear Cells in Persons at Risk of Developing Ischemic Heart -
JK Smith, R Dykes, JE Douglas, G Krishnaswamy, S … - JAMA, 1999 - Am Med Assoc
... the incidence of all-cause mortality, particularly deaths ... at greater risk of future
heart attack (risk ratio ... the mean weight for all subjects falling from 80.1 ...

Is the prevalence of coronary heart disease falling in British men? -
FC Lampe, RW Morris, PH Whincup, M Walker, S … - British Medical Journal, 2001 - heart.bmj.com
... infarction (MI) may actually outweigh falling incidence of ... Service central registers
for mortality and through ... of either angina or heart attack (MI, coronary ...

… landscape of patients hospitalized with acute myocardial infarction (the Worcester Heart Attack -
RJ Goldberg, FA Spencer, J Yarzebski, D Lessard, … - The American Journal of Cardiology, 2004 - Elsevier
... important hospital complications and all-cause hospital mortality rates were ... Outcomes
According to Period of Hospitalization (Worcester Heart Attack Study) ...

Source: Google Scholar

Falling mortality for heart attack patients

MINAP data have shown that the percentage of heart attack patients who die within 30 days of admission to hospital has fallen over the last three years from 12.4% to 11.2%, which represents 12 more lives saved for every thousand heart attacks.

More patients receive thrombolytic treatment within 60 minutes of calling for help

-- 64% of patients received thrombolytic treatment within 60 minutes of calling for professional help in England compared with 58% in 2005/6. In Wales 41% of patients received thrombolytic treatment within 60 minutes of calling for professional help compared with 30% in 2005/6.

More ambulance personnel can diagnose heart attack and give thrombolytic treatment before the patient arrives at hospital
12/13 of the ambulance services in England and the Welsh ambulance service can now give thrombolytic treatment to patients before they reach hospital (pre-hospital thrombolysis) while the single ambulance service not using pre-hospital treatment takes all eligible patients to specialist interventional hospitals for consideration of primary angioplasty.

-- In 2006/7, 2942 patients received pre-hospital thrombolytic treatment compared with 2231 patients in 2005/6.

-- In 2006/7, 91% of patients in England and 90 % of patients in Wales that received pre-hospital thrombolytic treatment received this within 60 minutes of calling for help. There is opportunity for further worthwhile increases in pre-hospital treatment, particularly in rural areas where journey times are long.

More patients are being treated by primary angioplasty

An increasing number of hospitals now provide primary angioplasty as an emergency treatment for heart attack. In England 35 hospitals have a primary angioplasty service, and 21 of these also provide a service for 41 other hospitals. In Wales 2 hospitals perform primary angioplasty with one other hospital having access to this service. The numbers having primary angioplasty have doubled in the last 12 months.

-- In 2006/7 3,192 patients (3,148 in England and 44 in Wales) were treated with primary angioplasty compared with 1,647 in 2005/6, an increase of 94%.

Prescription of secondary prevention medication continues to increase

The proportion of heart attack patients prescribed secondary prevention medication on discharge from hospital continues to exceed the targets remaining at 97% for aspirin, 91% for beta-blockers and 96% for statins in England, with a corresponding increase to 99%, 93% and 95% in Wales.
Dr John Birkhead, MINAP Clinical Director, said:

"The increase in numbers having thromobolytic treatment before arrival in hospital is gratifying as this reduced the delay before treatment, but there is certainly room for further increases in future."

Dr Jonathan Boyce, The Healthcare Commission's Head of Audit, said:

"As these results show, treatment of heart attacks is rapidly changing for the better. This audit is essential to keeping track of the improvement in those treatments, and helping to ensure that they are available everywhere".

The Healthcare Commission is the health watchdog in England. It keeps a check on health services to ensure that they are meeting standards in a range of areas. The Commission also promotes improvements in the quality of healthcare and public health in England through independent, authoritative, patient-centred assessments of those who provide services. Responsibility for inspection and investigation of NHS bodies and the independent sector in Wales rests with Healthcare Inspectorate Wales (HIW). The Healthcare Commission has certain statutory functions in Wales which include producing an annual report on the state of healthcare in England and Wales, national improvement reviews in England and Wales, and working with HIW to ensure that relevant cross-border issues are managed effectively. The Commission is currently responsible for sponsoring the National Clinical Audit and Patients' Outcomes Programme for England and Wales and funds MINAP. By identifying where improvement is required and sharing good practice within the service, the audit teams and the Healthcare Commission help to raise standards of patient care.

About UCL

Founded in 1826, UCL was the first English university established after Oxford and Cambridge, the first to admit students regardless of race, class, religion or gender, and the first to provide systematic teaching of law, architecture and medicine. In the government's most recent Research Assessment Exercise, 59 UCL departments achieved top ratings of 5* and 5, indicating research quality of international excellence.

UCL is the fourth-ranked UK university in the 2006 league table of the top 500 world universities produced by the Shanghai Jiao Tong University. UCL alumni include Mahatma Gandhi, Jonathan Dimbleby, Lord Woolf, Alexander Graham Bell, and members of the band Coldplay.

http://www.ucl.ac.uk
 
 
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