Drug treatment may be comparable to invasive cardiac procedures for elderly patients with heart attack
Although the type and intensity of treatment of acute myocardial infarction (MI) [heart attack] is very different from the country, older patients who require intensive medical care comparable survival to those undergoing invasive cardiac procedures (for example, are angioplasty and bypass surgery) A study of the JAMA 16th March. According to background information, more than 280,000 Medicare members with acute myocardial infarction are admitted to hospital each year. These patients at high risk of death in the short term: 18 percent die within 30 days of hospitalization, the authors write.To reduce this high mortality rate has focused on invasive diagnostic procedures and therapies. The authors continue, non-invasive, economic management, health care, including aspirin,
angiotensin-converting enzyme [IEC], and beta-blockers [drugs to treat high blood pressure] and [therapy to reduce blood clotting] thrombolysis, reduces mortality (death) after AMI. Teresa A. Stukel, Ph.D., Dartmouth Medical School, Hanover, NHMedicare patients hospitalized with a first episode of confirmed AMI in 1994 - 1995, followed for 7 years. The researchers examined the intensity of invasive management (measured as whether the patients received cardiac catheterization within 30 days), and medical management (measured by the prescription of beta-blockers in appropriate patients to discharge). The researchers found that patients with initial severity of acute myocardial infarction was similar in all regions.
healthy patients were more likely than older patients
at high risk of intensive treatment and medical treatment to get, note the researchers. The regions with the styles of practice, an invasive treatment had more ability to the cardiac catheterization laboratory were obtained by patients in these regions rather interventional treatment, regardless of age, clinical indication or risk profile. The absolute difference in adjusted survival of 7 years between the regions from Pages: [1] 2 3