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 3D images of cancer cells in the body: Medical physicists from Halle present new method
16.05.2018 | Martin-Luther-Universität Halle-Wittenberg

nachricht Better equipped in the fight against lung cancer
16.05.2018 | Friedrich-Alexander-Universität Erlangen-Nürnberg

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: Explanation for puzzling quantum oscillations has been found

So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics

Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...

Im Focus: Dozens of binaries from Milky Way's globular clusters could be detectable by LISA

Next-generation gravitational wave detector in space will complement LIGO on Earth

The historic first detection of gravitational waves from colliding black holes far outside our galaxy opened a new window to understanding the universe. A...

Im Focus: Entangled atoms shine in unison

A team led by Austrian experimental physicist Rainer Blatt has succeeded in characterizing the quantum entanglement of two spatially separated atoms by observing their light emission. This fundamental demonstration could lead to the development of highly sensitive optical gradiometers for the precise measurement of the gravitational field or the earth's magnetic field.

The age of quantum technology has long been heralded. Decades of research into the quantum world have led to the development of methods that make it possible...

Im Focus: Computer-Designed Customized Regenerative Heart Valves

Cardiovascular tissue engineering aims to treat heart disease with prostheses that grow and regenerate. Now, researchers from the University of Zurich, the Technical University Eindhoven and the Charité Berlin have successfully implanted regenerative heart valves, designed with the aid of computer simulations, into sheep for the first time.

Producing living tissue or organs based on human cells is one of the main research fields in regenerative medicine. Tissue engineering, which involves growing...

Im Focus: Light-induced superconductivity under high pressure

A team of scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg investigated optically-induced superconductivity in the alkali-doped fulleride K3C60under high external pressures. This study allowed, on one hand, to uniquely assess the nature of the transient state as a superconducting phase. In addition, it unveiled the possibility to induce superconductivity in K3C60 at temperatures far above the -170 degrees Celsius hypothesized previously, and rather all the way to room temperature. The paper by Cantaluppi et al has been published in Nature Physics.

Unlike ordinary metals, superconductors have the unique capability of transporting electrical currents without any loss. Nowadays, their technological...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Save the date: Forum European Neuroscience – 07-11 July 2018 in Berlin, Germany

02.05.2018 | Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

Unique scope of UV LED technologies and applications presented in Berlin: ICULTA-2018

12.04.2018 | Event News

 
Latest News

Supersonic waves may help electronics beat the heat

18.05.2018 | Power and Electrical Engineering

Keeping a Close Eye on Ice Loss

18.05.2018 | Information Technology

CrowdWater: An App for Flood Research

18.05.2018 | Information Technology

VideoLinks
Science & Research
Overview of more VideoLinks >>>