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Hearts too good to die: an evaluation of coronary care

A S Dixon

    Canadian Family Physician Medecin De Famille Canadien
    |February 1, 2011
    PubMed

    Insights

    Coronary care units are standard for heart attacks, but a review suggests their benefits might be overestimated. Further evaluation is needed to confirm the true impact of intensive coronary care.

    Area of Science:

    • Cardiology
    • Critical Care Medicine

    Background:

    • Intensive coronary care has become the standard treatment for acute myocardial infarction.
    • Coronary care units are widely established in hospitals.

    Purpose of the Study:

    • To evaluate the actual contribution and benefits of intensive coronary care.
    • To critically assess the established practices in acute myocardial infarction management.

    Main Methods:

    • Literature review of existing studies on intensive coronary care.
    • Analysis of data to assess the impact of coronary care units.

    Main Results:

    • The promise of intensive coronary care may have been overstated.
    • The benefits associated with coronary care units might be overestimated.

    Conclusions:

    • Further critical evaluation of intensive coronary care is warranted.
    • The established role of coronary care units requires reassessment based on evidence.

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