Related Experiment Video

Updated: Feb 2, 2026

Myocardial Infarction and Functional Outcome Assessment in Pigs
12:03

Myocardial Infarction and Functional Outcome Assessment in Pigs

Published on: April 25, 2014

28.7K

Outcomes of medically managed patients with myocardial infarction

Padma Kaul1,2, Anamaria Savu2, Shereen Hamza2

  • 1Department of Medicine, University of Alberta, Canada.

European Heart Journal. Acute Cardiovascular Care
|November 14, 2018
PubMed

Insights

Hospital catheterization facility availability impacts medical management for myocardial infarction patients. However, it did not correlate with increased mortality, suggesting care quality is maintained regardless of onsite facilities.

Area of Science:

  • Cardiology
  • Health Services Research

Background:

  • Myocardial infarction (MI) management strategies vary based on hospital resources.
  • Understanding outcomes for ST-elevation MI (STEMI) and non-ST-elevation MI (NSTEMI) patients at hospitals with and without catheterization facilities is crucial.

Purpose of the Study:

  • To compare outcomes for STEMI and NSTEMI patients receiving medical management.
  • To analyze the impact of presenting to hospitals with versus without onsite catheterization facilities.

Main Methods:

  • Retrospective analysis of 25,921 MI patients in Alberta, Canada (April 2010-March 2016).
  • Patients categorized by MI type (STEMI/NSTEMI), hospital catheterization availability, and management strategy (medically managed with/without angiography).
  • Outcomes including in-hospital mortality were compared.

Main Results:

  • 51% of patients presented to hospitals without catheterization facilities; 34% received medical management.
  • Medical management rates were higher at hospitals without catheterization facilities (43% vs. 24%).
  • Lack of onsite facilities was not associated with increased mortality for medically managed patients without angiography, but showed reduced mortality for NSTEMI patients medically managed after angiography.

Conclusions:

  • Hospital catheterization facility availability influences medical management rates for MI patients.
  • Presenting to hospitals without onsite catheterization facilities was not associated with adverse short- or long-term mortality outcomes for STEMI and NSTEMI patients.
Abstract

Keywords:
Myocardial infarctionmedical managementonsite facilities

More Related Videos

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction14:19

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction

Published on: October 14, 2016

12.1K
Acute Myocardial Infarction in Rats07:45

Acute Myocardial Infarction in Rats

Published on: February 16, 2011

54.6K

Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
258
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
216
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
359
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
319
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
301
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
443