Simple Test After Heart Attack Predicts Heart Failure

Posted on by Kurt Jensen

heartattackThe University of Glasgow presented research at the British Cardiovascular Society's annual conference, yesterday that proves a pressure- and temperature-sensitive wire inserted into a coronary artery after a heart attack can predict heart failure.

The standard assessment, a coronary angiogram, "can only identify narrowed vessels and cannot tell the doctor if, or how much, heart blood vessel damage has occurred," writes Medical News Today. Using the wire, the level of damage to arteries after a heart attack can be assessed in minutes -- a key indicator of high risk for heart failure.

The new assessment could lead to quicker treatment of patients at greatest risk for heart failure and improve outcomes.

Essential Characteristic #3 – Experts Need Checklists

Posted on by Kurt Jensen

char3checklists

"One of the most extensive recommendations in the consensus statement," writes the Advisory Board Company's Jake Hartman on a consensus statement released by cardiology leaders in a 2012 edition of Catheterization and Cardiovascular Interventions, "the group recommends that hospitals develop a detailed preprocedure checklist to ensure all safety precautions appropriate for the cath lab have been taken."

In December of 2009, Atul Gawande, MD released a book called A Checklist Manifesto, a strong argument for the use of pre-procedure checklists in medicine and other fields.

Continue reading Essential Characteristic #3 – Experts Need Checklists

Cardiac News Round-Up April 17

Posted on by Kurt Jensen

Stroke

Thrombolysis Safe in Mild Stroke

Jose G. Romano, MD and colleagues reported in the April issue of JAMA Neurology that few treatment complications were seen when treating patients who experienced mild strokes with tissue plasminogen activator (tPA). Mild strokes are defined by an NIHSS score of 5 or less. The study did not address long-term outcomes in the mild-stroke population.

Monitoring Improves NOAC Adherence

Mintu P. Turakhia, MD reported in April issue of JAMA that adherence to new oral anticoagulant (NOAC) dabigatran was highest when pharmacists assisted in monitoring compliance. Dabigatran is one of four fixed-dose NOACs that have been approved as alternatives to warfarin for reducing stroke risk in patients with Afib.

Heart Failure

Ivabradine for Heart Failure Gets FDA Nod

The FDA approved the first new drug for heart failure since 2005---invabradine---approved to "reduce hospitalization from worsening heart failure."

Acute MI

New Strategy can Help Determine Heart Attack in Patients Within One Hour

Results are in from a larger-scale clinical trial for an high-sensitivity cardiac troponin T algorithm (hs-cTnT) which accelerates treatment for patients suspected of having acute MI. The test allows for safe rule-out and 75 percent accurate rule-in. ACVP blog discussed a similar, gender-specific test in January, which found that high-sensitivity is necessary for more accurate diagnosis of heart attacks in women.

Special Report (4): Robotics improve efficiency and reduce radiation exposure

Posted on by Kurt Jensen

In 2011, the Society of Cardiovascular Angiography and Interventions published new guidelines for a Radiation Safety Program for the Cardiac Catheterization Laboratory.

With regards to procedures, they recommended limiting exposure duration, reducing dosage, limiting high-dose high contrast use, reducing magnification, and increasing distance from the x-ray beam to name a few.

Mayo Clinic reduced doses by 40 percent over a 3-year period in a case study released in 2012, where researchers noted that "the physician's expectations [had to] change from a desire for excellent image quality to a desire for low radiation dose and acceptance of clinically adequate image quality."

Technology itself might not be able to change culture, but it can significantly improve many relevant factors, as demonstrated by trials and testimonials of Corindus's CorPath system.

Continue reading Special Report (4): Robotics improve efficiency and reduce radiation exposure