(Press-News.org) CHICAGO—Selected patients 90 years and older who experience an acute heart attack, or ST-elevation myocardial infarction (STEMI), have reasonable outcomes with coronary stenting, and should be considered for reperfusion therapy, based on a scientific poster being presented at the 61st annual American College of Cardiology (ACC) scientific session.
Current STEMI guidelines do not specifically address age-related reperfusion decisions, even number though the number of people over 90 years old in the U.S. is expected to quadruple by 2050.
"Cardiologists are a little unsure when it comes to decision-making for this elderly patient population," explained the study's lead author David M. Larson, MD, chairman of the emergency department at Ridgeview Medical Center in Waconia, Minn., and physician researcher with the Minneapolis Heart Institute Foundation in Minneapolis. "Previously, we didn't offer many solutions beyond palliative care, but we are seeing more and more patients present to the ER in this age range."
Thus, through a prospective observational registry, he and his colleagues sought to determine the outcomes of STEMI patients 90 years old and older undergoing percutaneous coronary intervention (PCI) in a regional STEMI system.
From April 2003 to October 2011, 1.9 percent of 3,367 total STEMI patients in the registry were 90 years of age or older. In this study, PCI was performed in 50 nonagenarians. The mortality in these patients was 12.1 percent in the hospital and 15.2 percent at 30 days. Importantly, there were no cardiovascular readmissions to the hospital at 30 days.
"Taking into consideration that these outcomes are based on registry data, these outcomes demonstrate that PCI may be an excellent option for STEMI patients who are 90 year olds or older," said Larson, who adds that most of the patients were able to return to their previous home or assisted-living setting.
In addition, PCI may actually be cost effective in this STEMI population because if the artery is not re-opened, a high percentage of these patients will develop heart failure and/or die. However, more clinical research is needed to solidify these benefits.
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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.
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As the Dallas Arts District continues to grow and reshape northern downtown Dallas, the new Dallas Marriott City Center introduces Centric, the latest addition to the restaurant scene - a hotspot within walking distance of the AT&T Performing Arts Center, the Meyerson Symphony Center, the Dallas Museum of Art and more.
Located at 650 N. Pearl St. at the Plaza of the Americas, the upscale restaurant features a Texas eclectic menu by Executive Chef Yoni Heredia, with fresh ingredients sourced from local producers including Dallas' Mozzarella Company, Jimmy's Food Store ...
CHICAGO—There is an imbalance between the rapid growth of cardiac catheterization laboratories, which provide percutaneous coronary intervention (PCI) procedures, relative to the growth in the overall U.S. population, as well as patients who experience an acute heart attack, or ST-elevation myocardial infarction (STEMI), according to a study presented March 25 at the 61st annual American College of Cardiology (ACC) scientific session.
PCI is the preferred treatment strategy for patients who undergo STEMI. However, distance and access to PCI remains a determining factor ...
Male high school athletes' ability to recognize and intervene to stop dating violence -- the physical, sexual and emotional aggression prevalent in adolescent romantic relationships -- is improved with the intervention of some of the most important role models in young men's lives: their coaches.
A new study conducted in Sacramento, Calif., led by UC Davis researchers has found that a structured program delivered by coaches, called "Coaching Boys into Men," is effective for discouraging adolescent dating violence. The research is published online today in the Journal ...
Researchers at Queen Mary, University of London have identified a new protein that makes pancreatic cancer cells less 'sticky' and therefore less able to attach to and invade other tissue.
The protein, known as S100PBP, does this by suppressing a second protein called cathepsin Z. The research team has shown that cathepsin Z makes pancreatic cancer cells sticky, allowing them to spread to their surrounding environment. Prior to this study nothing was known about the function of S100PBP in the body or the role that cathepsin Z plays in pancreactic cancer.
The findings, ...
A new study has found that very few young women with cancer take steps to preserve their fertility while undergoing cancer therapy. Also, certain groups of young women are more likely to do so than others. Published early online in Cancer, a peer-reviewed journal of the American Cancer Society, the study indicates that efforts are needed to provide counseling on fertility preservation in reproductive-aged women diagnosed with cancer.
More than 120,000 women under 50 years of age are diagnosed with cancer each year in the United States. As cancer survival rates are improving, ...
Los Angeles (Embargoed Until 12:01 a.m. EDT on March 26, 2012) –Cedars-Sinai researchers have determined that two prevalent drug therapies – rifaximin and lubiprostone – offer some of the best options for treating irritable bowel syndrome, a widespread disorder that affects up to one in five Americans. The findings, based on an analysis of more than two dozen large-scale clinical trials, are contained in a peer-reviewed study published online by The American Journal of Medicine and set to appear in the publication's April print edition.
Patients with irritable bowel syndrome ...
Optex, Inc. and Milestone Systems today announced that Optex perimeter security products will be fully integrated with Milestone XProtect Corporate and XProtect Enterprise IP video management platforms. The result will provide features and benefits unprecedented within the security industry for outdoor perimeter applications.
Optex detection products will be integrated fully into the XProtect platform through add-on Milestone device packs available summer 2012. Device packs will be available for:
Redscan Laser-Scan Detectors that identify moving objects' size, speed, ...
NEW DELHI, 26 March 2012 – Brazil, Russia, India, China and South Africa are injecting new resources, momentum and innovation into efforts to improve health in the world's poorest countries, according to a report released on the eve of the 2012 BRICS Summit. Coming as many traditional donors reduce or slow their spending, the report explores the expanding influence of the BRICS on global health and development.
While all five countries have been engaged in foreign assistance for decades, the report finds that the size and scope of their efforts have grown rapidly along ...
Bass Public Affairs joins the Rena's Promise Foundation in remembering the 70th anniversary of the first transport to Auschwitz. That first transport was almost entirely young women between the ages of 16 and 22; they were numbered from 1000—1999.
Rena Kornreich Gelissen was on that first transport and her memoir Rena's Promise; Two Sisters In Auschwitz (co-authored by Heather Dune Macadam) tells of surviving for over 3 years in the death camps. Kornreich's dynamic tale of courage and compassion reminds us of the resiliency of the human spirit, and the power of people ...
Medix Staffing Solutions, Inc., a national staffing organization specialized in recruiting skilled personnel for clients in the Professional Services, Life Sciences, Healthcare and Information Technology industries, welcomed sales professionals from the company's 14 offices to convene for Medix's annual sales conference. Over the course of three days, the entire Medix sales force seized the opportunity to meet their colleagues from across the nation and hone in on valuable sales strategies and methodologies while absorbing information from insightful keynote speakers.
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