Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:


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

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:

More articles from Health and Medicine:

nachricht Inflammation Triggers Unsustainable Immune Response to Chronic Viral Infection
24.10.2016 | Universität Basel

nachricht Resolving the mystery of preeclampsia
21.10.2016 | Universitätsklinikum Magdeburg

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: Light-driven atomic rotations excite magnetic waves

Terahertz excitation of selected crystal vibrations leads to an effective magnetic field that drives coherent spin motion

Controlling functional properties by light is one of the grand goals in modern condensed matter physics and materials science. A new study now demonstrates how...

Im Focus: New 3-D wiring technique brings scalable quantum computers closer to reality

Researchers from the Institute for Quantum Computing (IQC) at the University of Waterloo led the development of a new extensible wiring technique capable of controlling superconducting quantum bits, representing a significant step towards to the realization of a scalable quantum computer.

"The quantum socket is a wiring method that uses three-dimensional wires based on spring-loaded pins to address individual qubits," said Jeremy Béjanin, a PhD...

Im Focus: Scientists develop a semiconductor nanocomposite material that moves in response to light

In a paper in Scientific Reports, a research team at Worcester Polytechnic Institute describes a novel light-activated phenomenon that could become the basis for applications as diverse as microscopic robotic grippers and more efficient solar cells.

A research team at Worcester Polytechnic Institute (WPI) has developed a revolutionary, light-activated semiconductor nanocomposite material that can be used...

Im Focus: Diamonds aren't forever: Sandia, Harvard team create first quantum computer bridge

By forcefully embedding two silicon atoms in a diamond matrix, Sandia researchers have demonstrated for the first time on a single chip all the components needed to create a quantum bridge to link quantum computers together.

"People have already built small quantum computers," says Sandia researcher Ryan Camacho. "Maybe the first useful one won't be a single giant quantum computer...

Im Focus: New Products - Highlights of COMPAMED 2016

COMPAMED has become the leading international marketplace for suppliers of medical manufacturing. The trade fair, which takes place every November and is co-located to MEDICA in Dusseldorf, has been steadily growing over the past years and shows that medical technology remains a rapidly growing market.

In 2016, the joint pavilion by the IVAM Microtechnology Network, the Product Market “High-tech for Medical Devices”, will be located in Hall 8a again and will...

All Focus news of the innovation-report >>>



Event News

#IC2S2: When Social Science meets Computer Science - GESIS will host the IC2S2 conference 2017

14.10.2016 | Event News

Agricultural Trade Developments and Potentials in Central Asia and the South Caucasus

14.10.2016 | Event News

World Health Summit – Day Three: A Call to Action

12.10.2016 | Event News

Latest News

Oasis of life in the ice-covered central Arctic

24.10.2016 | Earth Sciences

‘Farming’ bacteria to boost growth in the oceans

24.10.2016 | Life Sciences

Light-driven atomic rotations excite magnetic waves

24.10.2016 | Physics and Astronomy

More VideoLinks >>>