People Who’ve Had a Heart Attack are at Greater Risk of Death

If even one of nine critical steps in their treatment is missed

(HealthDay News) — People who’ve had a heart attack are at greater risk of death if even one of nine critical steps in their treatment is missed, according to a new study.

Researchers in the United Kingdom noted patients who missed a part of their treatment early on, such as an electrocardiogram within hours of developing symptoms, were more likely to miss other steps in their care later on. The researchers added, however, that outcomes among heart attack patients can be improved if all nine steps critical to their care are followed.

“The tragedy of all this is that these deaths are avoidable,” study leader Dr. Chris Gale, of the University of Leeds School of Medicine, said in a university news release. “There is a clear relationship between the ability to provide comprehensive and timely care, and treatment and improved chance of heart attack survival.”

The researchers identified the nine critical steps in treatment for a heart attack as:

An electrocardiogram within a few hours after symptoms develop;

Use of aspirin right away;

Restoring blood flow to the heart (known as reperfusion);

A prescription for aspirin at the time of hospital discharge;

Timely use of four heart medications: ACE-inhibitors, beta-blockers, angiotensin receptor blockers and statins,
Referral for cardiac rehabilitation after discharge from the hospital;

Low-Carb Beats Low-Fat for Weight Loss, Heart Health: Study Diabetics Face Much Greater Risk of Heart Damage, study says missing one of these treatments can be fatal for those who’ve had a heart attack, according to the study, which found the chances of dying are 46 percent higher for these patients within one month of discharge from the hospital and 74 percent higher within one year.

Using one of the largest registries of quality of care and outcomes for heart attacks in England and Wales, the researchers found that about 50 percent of 31,000 heart attack patients who were discharged from the hospital between January 2007 and December 2010 did not receive all nine critical steps in their overall treatment.

Hospitals with fewer specialist beds for heart attack patients and hospitals that treated only small numbers of heart attack patients were more likely to skip a critical treatment aspect, the study’s authors noted.

The study, published in the European Heart Journal: Acute Cardiovascular Care, revealed that hospitals with no specialist cardiology beds missed care opportunities 11 percent more often than hospitals with more than 50 specialist cardiology beds.

“It is vitally important that health care professionals working in the heart disease field are made fully aware of, and trained in, these nine types of treatment so that the chances of saving a heart attack patient’s life are maximized,” Gale said. “Many of these guideline recommended steps are straightforward, but for some reason they are not being provided. If more components of care are missed, the chance of dying increases further.”

Dr. Peter Weissberg is medical director of the British Heart Foundation, the organization that funded the study. He said in the news release: “The key message is that someone’s recovery from a heart attack is not solely dependent on any single element of the care pathway. This research shows the importance of ensuring all elements of care for heart attack patients are optimally delivered.”

More information

The U.S. National Heart, Lung, and Blood Institute has more on treatment for heart attack.

— Mary Elizabeth Dallas

SOURCE: University of Leeds, news release, Sept. 14, 2014

September 2, 2014

0 Responses on People Who've Had a Heart Attack are at Greater Risk of Death"

Leave a Message

Certificate Code Validation

Authorized Training

National training providers such as the American Red Cross and the American Heart Association have no authority to certify any other providers training programs or curriculum other than their own local training centers.

There is no national training authorizing authority as it relates to the issuance of training programs or certifications.

No logos from any other national training provider will appear on CPRfundraising.com's certificates of completion or training certification cards.

Training Standards

CPRfundraising.com training programs have been modeled after the Emergency Cardiovascular Care (ECC) national guidelines for Bystander or Community level CPR training.

All training is OSHA compliant. Requirements for CPR training are issued by individual employers and educational institutions. CPRfundraising.com training certification's should not be used for Healthcare Provider Level training requirements or if you will be working as a childcare provider.

Participants are required to verify that our training standards are acceptable for their needs. If you require a certification card instead of a certificate of completion, please select that option during your checkout.

Disclaimer

Online training participants may find it useful or beneficial to participate in a hands-on skill review session, at the conclusion of their online training, to reinforce presented skills. However, there is no legal requirement to do so. Some employers or schools may have individual policies preferring or requiring hands-on skills practice.

Completing CPR training in an online or classroom environment does not guarantee that your resuscitation efforts will be effective if performed in an emergency environment.

top