Cardiac
It may not be long before cardiovascular disease is no longer the leading cause of death - Dr. Michael Lauer
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HWN Suggests
Should all Out-Of-Hospital Cardiac Arrests be Transported to Cardiac Centers?
Regionalization of out-of-hospital cardiac arrest (OOHCA) care is a topic that is continuously evolving. Recently, there has been a large amount of investigation on the relationship between transport time and survivability. While regionalization of care has been shown to improve patient outcomes, there have been concerns about transport times needed to reach these centers.
According to the American Heart Association, one of the most common causes of OOHCA is acute coronary occlusion; early angiography or coronary intervention is recommended for patients with and without ST-segment elevation if a cardiac or coronary cause is suspected. Early CPR and defibrillation have drastically…
Resources
Regional Systems of Care for Out-of-Hospital Cardiac Arrest
Regional systems of care have improved provider experience and patient outcomes for those with ST-elevation myocardial infarction and life-threatening traumatic injury. This statement describes the rationale for regional systems of care for patients resuscitated from cardiac arrest and the preliminary recommended elements of such systems. Many more people could potentially survive out-of-hospital cardiac arrest if regional systems of cardiac resuscitation were established.
A Sea Change in Treating Heart Attacks
The death rate from coronary heart disease has dropped 38 percent in a decade. One reason is that hospitals rich and poor have streamlined emergency treatment.
Are Doctors Exposing Heart Patients to Unnecessary Cardiac Procedures?
A factor that may contribute to the high rates of angioplasties is that some interventional cardiologists administer the stress tests and imaging studies that determine whether a procedure is warranted.
Importance of Hospital Entry: Walk-in STEMI and Primary Percutaneous Coronary Intervention
The purpose of this study was to evaluate baseline demographic and clinical differences between walk-in and EMS-transported STEMI patients and identify factors associated with prolonged door to balloon (D2B) time in walk-in STEMI patients.
ST-Segment Elevation Myocardial Infarction: Recommendations on Triage of Patients to Heart Attack Centers: Is it Time for a National Policy for the Treatment of ST-Segment Elevation Myocardial Infarction?
Despite substantial progress in the diagnosis and treatment of acute ST-segment elevation myocardial infarction (STEMI), implementation of this knowledge into routine clinical practice has been variable. It has become increasing clear that primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion if it can be performed in a timely manner. Recent European data suggest that transfer for direct PCI may also be preferable to fibrinolytic therapy. We believe it is time to establish a national policy for treatment of patients with STEMI to develop a coordinated system of care similar to that of the level 1 trauma system.
Should all Out-Of-Hospital Cardiac Arrests be Transported to Cardiac Centers?
Regionalization of out-of-hospital cardiac arrest (OOHCA) care is a topic that is continuously evolving. Recently, there has been a large amount of investigation on the relationship between transport time and survivability. While regionalization of care has been shown to improve patient outcomes, there have been concerns about transport times needed to reach these centers.
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