Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Is it time for regional cardiovascular emergency care systems across the US?

26.04.2012
Experts are proposing a new model of care collaboration to diagnosis, treat and follow patients who present with various emergent cardiovascular conditions which require rapid, resource-intensive care and confer a high risk of mortality, in an article published April 24 in Circulation.

Specifically, cardiovascular emergencies, such as ST-segment elevation myocardial infarction (STEMI), non-STEMI/unstable angina, out-of-hospital cardiac arrest (OHCA), acute aortic dissection (AAD), abdominal aortic aneurysm (AAA), stroke and acute decompensated heart failure, may benefit from regionalized systems of care.

Over the past decade, the Minneapolis Heart Institute® (MHI) at Abbott Northwestern Hospital has implemented regional systems of care for STEMI, OHCA, AAD, non-STEMI and AAA, instituting clinical programs and a supportive network that reflect a burgeoning framework of a regional cardiovascular emergencies system. Regional systems of care such as these have helped lead to the formation of the nationwide program Mission Lifeline initiative from the American Heart Association, which has developed certification criteria for STEMI referral and receiving centers.

"Through our work implementing guideline driven protocols for cardiovascular systems of care, we have learned that up to 20% of patients treated for these diagnoses will require more than one protocol," said the study's co-author Craig E. Strauss, MD, MPH, a cardiologist at MHI® and physician researcher with the Minneapolis Heart Institute Foundation. For example, a STEMI patient also may experience an OHCA, and require therapeutic hypothermia. "There are commonalities across the cardiovascular emergencies and there is value in bringing those together under one umbrella."

The model, proposed in this article, for a cardiovascular emergency system is a series of clinical programs anchored by a cardiovascular emergency receiving center and fortified by an integrated network of partnered community hospitals and EMS providers, as well as a landscape of infrastructure elements that provide essential center- and system-level support.

Strauss stressed that rapid diagnosis, effective care coordination with the local EMS providers and physicians, and appropriate follow-up care are among the most important components of implementing a regional system of care. "Particularly with managing patients after an acute cardiovascular event, caregivers must communicate and educate patients about appropriate follow up with their local providers, as well as the importance of medication adherence, both of which have been shown to reduce readmissions," he said.

The authors acknowledged that the current U.S. healthcare system is "fragmented and inefficient," which has historically created barriers to rapid diagnosis and treatment at all levels of cardiovascular care. To overcome these challenges, they recommended the implementation of regional cardiovascular emergency systems that have the potential to improve clinical outcomes; to provide ongoing education for patients, providers and the community; and to serve as a foundation for cost-effective care through the future development of cardiovascular accountable care organizations.

This work was supported by the Minneapolis Heart Institute Foundation.

Minneapolis Heart Institute Foundation

The Minneapolis Heart Institute Foundation is dedicated to creating a world without heart disease through groundbreaking clinical research and innovative education programs. MHIF's mission is to promote and improve cardiovascular health, quality of life and longevity for all.

Minneapolis Heart Institute®

The Minneapolis Heart Institute® is recognized internationally as one of the world's leading providers of heart and vascular care. This state-of-the-art facility combines the finest in personalized patient care with sophisticated technology in a unique, family-oriented environment. The Institute's programs, a number of which are conducted in conjunction with Abbott Northwestern Hospital, address the full range of heart and vascular health needs: prevention, diagnosis, treatment and rehabilitation.

Kristin Wincek | EurekAlert!
Further information:
http://www.mhif.org

More articles from Health and Medicine:

nachricht Monitoring the heart's mitochondria to predict cardiac arrest?
21.09.2017 | Boston Children's Hospital

nachricht Highly precise wiring in the Cerebral Cortex
21.09.2017 | Max-Planck-Institut für Hirnforschung

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Highly precise wiring in the Cerebral Cortex

Our brains house extremely complex neuronal circuits, whose detailed structures are still largely unknown. This is especially true for the so-called cerebral cortex of mammals, where among other things vision, thoughts or spatial orientation are being computed. Here the rules by which nerve cells are connected to each other are only partly understood. A team of scientists around Moritz Helmstaedter at the Frankfiurt Max Planck Institute for Brain Research and Helene Schmidt (Humboldt University in Berlin) have now discovered a surprisingly precise nerve cell connectivity pattern in the part of the cerebral cortex that is responsible for orienting the individual animal or human in space.

The researchers report online in Nature (Schmidt et al., 2017. Axonal synapse sorting in medial entorhinal cortex, DOI: 10.1038/nature24005) that synapses in...

Im Focus: Tiny lasers from a gallery of whispers

New technique promises tunable laser devices

Whispering gallery mode (WGM) resonators are used to make tiny micro-lasers, sensors, switches, routers and other devices. These tiny structures rely on a...

Im Focus: Ultrafast snapshots of relaxing electrons in solids

Using ultrafast flashes of laser and x-ray radiation, scientists at the Max Planck Institute of Quantum Optics (Garching, Germany) took snapshots of the briefest electron motion inside a solid material to date. The electron motion lasted only 750 billionths of the billionth of a second before it fainted, setting a new record of human capability to capture ultrafast processes inside solids!

When x-rays shine onto solid materials or large molecules, an electron is pushed away from its original place near the nucleus of the atom, leaving a hole...

Im Focus: Quantum Sensors Decipher Magnetic Ordering in a New Semiconducting Material

For the first time, physicists have successfully imaged spiral magnetic ordering in a multiferroic material. These materials are considered highly promising candidates for future data storage media. The researchers were able to prove their findings using unique quantum sensors that were developed at Basel University and that can analyze electromagnetic fields on the nanometer scale. The results – obtained by scientists from the University of Basel’s Department of Physics, the Swiss Nanoscience Institute, the University of Montpellier and several laboratories from University Paris-Saclay – were recently published in the journal Nature.

Multiferroics are materials that simultaneously react to electric and magnetic fields. These two properties are rarely found together, and their combined...

Im Focus: Fast, convenient & standardized: New lab innovation for automated tissue engineering & drug

MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems Holding GmbH about commercial use of a multi-well tissue plate for automated and reliable tissue engineering & drug testing.

MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

“Lasers in Composites Symposium” in Aachen – from Science to Application

19.09.2017 | Event News

I-ESA 2018 – Call for Papers

12.09.2017 | Event News

EMBO at Basel Life, a new conference on current and emerging life science research

06.09.2017 | Event News

 
Latest News

Comet or asteroid? Hubble discovers that a unique object is a binary

21.09.2017 | Physics and Astronomy

Cnidarians remotely control bacteria

21.09.2017 | Life Sciences

Monitoring the heart's mitochondria to predict cardiac arrest?

21.09.2017 | Health and Medicine

VideoLinks
B2B-VideoLinks
More VideoLinks >>>