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Thrombolytics
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Thrombolytics help to break up blood clots within arteries and blood vessels, and Cath Lab Digest delves into the various types and uses of thrombolytic agents involved with cardiac health issues in the catheterization lab. Feel free to view our articles listed below. |
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Improved Efficiency in Acute Myocardial Infarction Care Through Commitment to Emergency Department Initiated Primary PCI
ABSTRACT: Study objective. Methods. Establishing the clinical and business case for process change.
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Primary Angioplasty at Community Hospitals in the 21st Century Now The Treatment of Choice for Myocardial Infarction at Qualified Hospitals Without Cardiac Surgery
It was 2 am the night after Thanksgiving. John went into the bathroom to try to relieve his chest pain. He vomited copious amounts of bloody coffee-ground material and passed out. His wife awakened hearing his fall. She found John on the floor and called 911 immediately. John was brought to the local emergency department (ED) in the nearby community hospital, obtunded, white, cold and clammy with a systolic pressure of 80 mmHg and with ?tombstone? ST elevation indicating a large infero-apical-lateral myocardial infarction (MI) on EKG. His pajama shirt was covered with bloody vomitus.
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Clinical and Industry News II
? At any rate, Sacco says, the relationship is ? Previous clinical studies indicate ETC-588 rapidly mobilizes cholesterol.
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CLINICAL AND INDUSTRY NEWS
? Reduce cath lab workload ? Contain inventory costs ?
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Commentary Response: Primary Angioplasty is Now the Benchmark for the Treatment of AMI and Needs Broader Access
We are flattered by the attention that Dr. Thomas J. Ryan has given to our admittedly provocative article ? attention which highlights the importance of the surgical back-up question and the strong feelings that have been aroused on both sides. We appreciate Cath Lab Digest?s invitation to respond to his commentary. Our response will address the following issues:
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Stroke: The Under-treated Cardiovascular Disease
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Early Intervention for All Patients
?The early invasive approach, in fact, appears to be cost-neutral compared to the early conservative approach, despite the use of expensive stents, balloons, catheters and wires. This is because the early conservative group that received no intervention returned later within that six-month period to undergo intervention.?
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Primary Angioplasty at Community Hospitals in the 21st Century: A Commentary
Performing coronary angioplasty in the catheterization laboratories of community hospitals that do not have their own accredited cardiac surgical programs is something not done as a rule in the United States. As a matter of policy, is this wrong? Does it fly in the face of compelling data to do otherwise? Is it yet another example of providers and regulators constraining qualified physicians from doing what is necessary to properly care for a patient? The adjacent article by Wharton and colleagues would seem to suggest that is the case. Others would disagree and attribute such a point of view to unbridled enthusiasm for primary angioplasty, a reperfusion strategy for the management of select patients with acute myocardial infarction that is increasingly used as an alternative to thrombolytic therapy.
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Cardiac Alert System: The Golden Hour
Scott Jones, a 50-year old construction worker, was just getting home when he noticed severe pain in his left chest and shortness of breath. His wife met him at the door and immediately called 911. Within minutes, Colorado Springs Fire Department paramedics were at the Jones? home, assessing Scott and doing an ECG. Minutes later, the ECG had been faxed to Memorial Hospital, where an emergency department physician evaluated the ECG and, aided by the paramedic?s phone assessment of the patient, called a cardiac alert.
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Acute Myocardial Infarction: Early Strategies to Optimize Results
*Held January 2004. Reprinted with permission from the Journal of Invasive Cardiology May 2005;17(5):288-291.
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On Demand Medical Education
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