Search results for "Myocardial infarction"
New score developed to improve risk stratification in type 2 myocardial infarction
The T2-risk score incorporates age, ischemic heart disease, heart failure, diabetes, myocardial ischemia on electrocardiogram, heart rate, anemia, estimated glomerular filtration rate, and maximal cardiac troponin concentration.
https://acphospitalist.acponline.org/archives/2023/01/18/new-score-developed-to-improve-risk-stratification-in-type-2-myocardial-infarction.htm
18 Jan 2023
Educational reminders by mail and phone increased uptake of cardiac rehab after MI
While an educational intervention increased the odds that patients would complete cardiac rehabilitation after a myocardial infarction (MI) compared with usual care, it did not affect adherence to cardiac medications, a Canadian trial found.
https://acphospitalist.acponline.org/weekly/archives/2020/06/17/4.htm
17 Jun 2020
Strained finances linked to increased mortality following myocardial infarction
Patients under severe financial strain had higher risk of death in the six months after hospital discharge after acute myocardial infarction, even after accounting for medical complexity, functional impairments, and conditions of aging such as impaired mobility.
https://acphospitalist.acponline.org/archives/2022/02/23/strained-finances-linked-to-increased-mortality-following-myocardial-infarction.htm
23 Feb 2022
Adverse cardiac events rare in chest pain patients treated and discharged by ED
Among patients who presented to the ED with chest pain but were not diagnosed with myocardial infarction, risk of acute myocardial infarction, death, or coronary revascularization within 30 days did not appear to be affected by whether they were admitted, a retrospective study found.
https://acphospitalist.acponline.org/weekly/archives/2021/05/26/3.htm
26 May 2021
American Heart Association issues scientific statement on cardiogenic shock in older adults
The statement provides suggestions for clinical practice, highlighting the crucial role of individualized risk assessment, an interdisciplinary approach, and patient-centered decision making in the management of cardiogenic shock among older adults.
https://acphospitalist.acponline.org/archives/2024/03/06/american-heart-association-issues-scientific-statement-on-cardiogenic-shock-in-older-adults.htm
6 Mar 2024
Risk for adverse outcomes after early-onset MI appears higher in Black patients
Researchers calculated that 45.7% of race-related disparity in major adverse cardiac events after myocardial infarction (MI) among younger and middle-aged patients was due to lower income, highlighting the importance of social determinants of health.
https://acphospitalist.acponline.org/weekly/archives/2021/09/01/3.htm
1 Sep 2021
Meth use associated with higher risk of heart failure, myocardial infarction, stroke
An analysis of hospitalized patients found that those who used methamphetamine had a 32% increase in cardiovascular disease risk compared to nonusers who also had been hospitalized. Risk increases associated with misuse of alcohol and cocaine were 28% and 47%, respectively.
https://acphospitalist.acponline.org/archives/2022/08/10/meth-use-associated-with-higher-risk-of-heart-failure-myocardial-infarction-stroke.htm
10 Aug 2022
3-hour troponin level may help rule out NSTEMI in ED patients triaged to observation
A previously proposed cutoff for 3-hour change in high-sensitivity cardiac troponin T of 7 ng/L missed 66.7% of ED patients with non-ST-segment elevation myocardial infarction (NSTEMI), but a cutoff of 15 ng/L combined with a 0/3-hour absolute change of less than 4 ng/L missed less than 1%.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/3.htm
18 Aug 2021
Heart failure questionnaire a month after discharge identifies high-risk MI patients
Patients who reported very poor to fair health on the Kansas City Cardiomyopathy Questionnaire a month after hospitalization for a myocardial infarction (MI) had significantly higher risk of mortality than those reporting better health, with predictive symptoms including leg swelling.
https://acphospitalist.acponline.org/archives/2024/01/17/heart-failure-questionnaire-a-month-after-discharge-identifies-high-risk-mi-patients.htm
17 Jan 2024
Studies look at gap between practice and optimal pharmacotherapy after MI
Patients who have had a myocardial infarction (MI) may benefit from lower doses of beta-blockers than those used in clinical trials, and mineralocorticoid receptor antagonists are often not prescribed as recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/07/14/2.htm
14 Jul 2021