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Recent News and Articles on the Keywords: emergency angioplasty + missing out + patients  Related to the article below (Last Update: 7/1/2008)


Sydney Morning Herald
Ambulance service blocks use of heart-saving system
Sydney Morning Herald, Australia - Jun 4, 2008
But more than 70 per cent of Sydneysiders are missing out because the NSW Ambulance Service has instructed most of its staff not to use ETAMI. ...
Nation Briefing 6/6
Daily Herald, UT - Jun 5, 2008
A vacuum cleaner-like device that sucks blood clots out of the arteries of heart attack victims before angioplasty reduces the death rate in the following ...
Source: Google News

Primary angioplasty versus prehospital fibrinolysis in acute myocardial infarction: a randomised … -
E Bonnefoy, F Lapostolle, A Leizorovicz, G Steg, … - The Lancet, 2002 - Elsevier
... Our aim was to find out whether primary ... generation of queries about missing or
inconsistent ... a centre with facilities for emergency angioplasty?might improve ...

… troponin I as a predictor of major cardiac events in emergency department patients with acute chest … -
CA Polanczyk, TH Lee, EF Cook, R Walls, D Wybenga, … - Journal of the American College of Cardiology, 1998 - Am Coll Cardio Found
... surgery and percutaneous transluminal coronary angioplasty (PTCA ... from the study because
of missing cTnI or CK ... h After Presentation to Emergency Department (1,047 ...

[CITATION] Impact of Community Intervention to Reduce Patient Delay Time on Use of Reperfusion Therapy for …
JR Hedges, HA Feldman, V Bittner, RJ Goldberg, J … - Academic Emergency Medicine, 2000 - Blackwell Synergy
... priority of order, were the emergency physician note ... initiated or the time an
angioplasty-associated reperfusion ... and 781 patients with missing out-of-hospital ...

… with survival to hospital discharge among patients hospitalised alive after out of hospital cardiac … -
J Herlitz, A Bang, J Gunnarsson, J Engdahl, BW … - British Medical Journal, 2003 - heart.bmj.com
... and lidocaine in the emergency department (table 7 ... of percutaneous transluminal coronary
angioplasty procedures were ... of patients with missing information is a ...

Trends in Acute Coronary Heart Disease Mortality, Morbidity, and Medical Care From 1985 Through 1997 … -
PG McGovern, DR Jacobs, E Shahar, DK Arnett, AR … - Circulation, 2001 - Am Heart Assoc
... A similar amount of information was missing for men ... be explained by declining
out-of-hospital ... aspirin, ACE inhibitors, ?-blockers, and emergency angioplasty. ...

Patients with suspected acute coronary syndrome in a university hospital emergency department: an … -
U Ekelund, HJ Nilsson, A Frigyesi, O Torffvit - feedback, 2004 - biomedcentral.com
... Both balloon angioplasty (PTCA) and coronary bypass surgery (CABG ... Patients discharged
from the emergency department. ... analyzed and few data were missing and the ...

… of Diabetes Mellitus on Early and Late Outcome After Percutaneous Transluminal Coronary Angioplasty -
B Stein, WS Weintraub, SSP Gebhart, CL Cohen- … - Circulation, 1995 - Am Heart Assoc
... data indicate not only that repeated angioplasty within the ... and left ventricular
function are missing in a ... and the rate of in-hospital emergency surgery and Q ...

… Patients A Comparison of the Randomized and Observational Components of the Bypass Angioplasty … -
KM Detre, P Guo, R Holubkov, RM Califf, G Sopko, R … - Circulation, 1999 - Am Heart Assoc
... was designed to compare CABG and angioplasty (PTCA) in a ... 11% of registry patients
with missing self-reported ... comparable, whereas the rate of emergency CABG was ...

Continuation of CPR on admission to emergency department after out-of-hospital cardiac arrest. … -
J Herlitz, L Ekstr?m, L Axelsson, A Blng, B … - Resuscitation, 1997 - Elsevier
... Number of patients with missing information ... PTCA, Percutaneous transluminal coronary
angioplasty; CABG, Coronary artery ... on arrival at the emergency de- partment ...

… for rapid evaluation and rule out of suspected acute myocardial infarction in the emergency … -
PO Collinson, DC Gaze, K Bainbridge, F Morris, B … - British Medical Journal, 2006 - emj.bmj.com
... chest pain to the emergency department (ED ... or percutaneous transluminal coronary
angioplasty were performed ... not have as high sensitivity, missing two patients ...

Source: Google Scholar

Emergency angioplasty use rises, but some patients still miss out

Compared with their counterparts a decade ago, today’s heart attack patients are receiving emergency angioplasty or clot-busting drugs to re-open clogged arteries at a far greater rate, but 10 percent of patients who could benefit from this life-saving treatment still do not receive it, according to a study published in The American Journal of Medicine by Yale and University of Michigan researchers.

The results also showed that the chance of missing out on lifesaving emergency treatment was highest among patients without typical symptoms like chest pain, patients who did not arrive at the hospital until six or more hours after the heart attack began, female patients, those over age 75 and non-whites.

The 10-year study was based on data from 238,291 heart attack patients between 1994 and 2003 who were listed in the National Registry of Myocardial Infarction. The patients had a particular kind of heart attack called ST-elevated myocardial infarction (STEMI). It is the most current and comprehensive look at the use of emergency reperfusion, a treatment that can restore blood flow to the heart muscle. To track the changes in emergency reperfusion therapy over time, the researchers divided the study data into three time periods: June 1994 through May 1997, June 1997 through May 2000, and June 2000 through May 2003.

“This study has good and bad news,” said senior author Harlan M. Krumholz, M.D., the Harold H. Hines, Jr. Professor of Medicine at Yale School of Medicine. “We have definitely made progress in treating appropriate patients, but our findings indicate that we need to improve further to be sure that no patient who could benefit from treatment is missed.”

“We may never be able to get to 100 percent, but 10 percent of eligible patients going untreated is still too many,” said first author Brahmajee Nallamothu, M.D., assistant professor of cardiovascular medicine at the University of Michigan Medical School. “We hope our study highlights the opportunities to improve care and particularly some of the “at risk” subgroups still less likely to receive reperfusion therapy despite eligibility, so that we can focus our clinical efforts on them.”

Hospitals around the nation, including Yale-New Haven and University of Michigan, are taking part in a national campaign to reduce “door-to-balloon” times—the time from when a STEMI patient enters hospital doors to the time blood flow is restored to the heart by opening a blockage with angioplasty.

###

The National Heart, Lung and Blood Institute of the National Institutes of Health funded the study. Genentech, Inc. provided researchers with access to the registry.

Other authors on the study included Martha E. Blaney, Susan M. Morris, Lori Parsons, Dave P. Miller, John G. Canto, M.D., and Hal V. Barron, M.D.,

Citation: The American Journal of Medicine, Vol. 120, No. 8, (August 2007)
 
 
 
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