Angioplasty and Stent Shorter Wait Times For Do Not Lower Death Rates.
Angioplasty Stent Video
Interesting, research published in the New England Journal of Medicine, talking about how this is disappointing. Having an angioplasty stent quicker does translate into lower death rates.
The American College of Cardiology and the American Heart Association started instituting these guidelines in all angioplasty stent centres to help hospitals reduce their door-to-door balloon times to 90 minutes or less.
Well the angioplasty stent centres did even better. To expand on the research, the team looked at 95,007 patients admitted to 515 hospitals throughout the U.S. from July 2005 to June 2009 who were having an angioplasty stent.
The average time it took for a patient to get treatment (angioplasty and stent) in a catheterization lab decreased every year, dropping from 83 minutes in 2005-06 to 67 minutes for an angioplasty stent in 2008-09. But the proportion of patients who died before leaving the hospital barely changed at all, starting out at 4.8% and winding up at 4.7%.
The researchers also looked at Medicare data for a subset of 26,202 patients to see how many were alive 30 days after their procedures. Again they found no significant change in death rates, even as door-to-balloon angioplasty stent times decreased from 88 minutes to 68 minutes.
So, it may seem that we have hit a wall with angioplasty stent procedures after a myocardial infarction (heart attack). The drugs given upon presentation of a myocardial infarction may be doing a great job and some patients may not even need an angioplasty stent.
It would be great to of course educate people on the period before coming into the hospital, recognizing symptoms to present themselves to the hospital. These symptoms can be missed especially if it not the recognizable crushing pain. It can be as simple as shortness of breath, tightness, indigestion feeling or extreme fatigue.
Angioplasty and stent is a treatment but what is done before this even happens calling 911 on times without delays will improve outcomes.
Obviously a better goal would be to just avoid angioplasty and stent and focus on primary or secondary prevention. Understand your numbers and take charge of your heart health before it takes charge of you.
Hospitals may have maxed out what they can do in the early hours of a heart attack with medications, angioplasty and stent procedures. It is now up to the patients to focus on maxing out what they can do to avoid the emergency rooms.
At the end of the day, it is not what the hospitals and doctors do to help patients with myocardial infarctions. It is up to the patient to take charge of their heart health to avoid the progression of heart disease.
To your heart health success,