Cardiac Hospitalization Atherosclerosis Management Program (CHAMP). CHAMP focused on implementing secondary prevention treatments and risk-lessening counseling (Bottorff, Nutescu & Spinler, 2007, p
¶ … Health Care Services for Myocardial Infarction: Myocardial Infarction (MI) is commonly known as Acute Myocardial Infarction (AMI) is a heart attack disease in which blood supply to a part of the heart is interrupted resulting in ultimate irreversible damage and cell death in that part of the heart (Khan, 2010)
While some of the services and initiatives have helped in treatment of the disease, there is need for improved treatment for myocardial infarction. The new initiatives to lessen delay in response to the symptoms of acute myocardial infarction must consider the emotional and cognitive processes and differences in response to the patients' specific cultures (McKinley, Moser & Dracup, 2000, p
Chronic aspirin and statin therapy is based on the concept of drug benefits in enhancing patient outcomes while REACT theory-based intervention seeks to promote healthy and timely behaviors in response to the disease. Notably, these intervention measures are based on the behavioral theories of primary health care (Wei, Fahey & MacDonald, 2008, p
ECG -- persistent ST-segment elevation; 3. Elevated markers of myocardial necrosis; and 4. 2D-echocardiograph (Banerjee, 2011)
9). Likewise, for those patients who experience ST-elevation myocardial infarctions, there is a growing body of evidence that primary percutaneous coronary intervention (PPCI) is preferable to onsite fibrinolytic therapy (O-FT), when the PPCI is administered in a timely fashion; however, the benefit of this intervention diminishes as delays to treatment increase (Chakrabarti, Gibson & Pinto, 2012), and these issues are discussed further below
These findings also emphasize the need to accurately identify the onset of STEMI symptoms and these issues are discussed further below. Symptom Onset to Arrival in the Emergency Department Symptom onset of STEMI episodes can result in death immediately, with no time for transport to a tertiary healthcare facility (Evans & Tippins, 2007)
In some cases, there may be other ambulance services available, including water-based or air-based services. For example, in Denmark, ambulance services are available but helicopter ambulance services are also routinely used to transport STEMI victims to hospitals (Knudsen, Stengaard, Hansen, Lassen, & Terkelsen, 2012)
6). The timely administration of primary PCI has been shown to be superior compared to fibrinolysis in reducing the of overall short-term mortality, nonfatal reinfarction, stroke, and combined end point of death rates for STEMI patients as well as the nonfatal reinfarction, and stroke rates as well (Ornato, 2007)
864). To fill this gap, Park and her associates retrospectively evaluated 423 STEMI patients and found the median symptom onset-to-door time was 150 minutes, with patients in the short delay group experiencing significantly reduced in-hospital mortality compared their counterparts who experienced long delays in receiving treatment (Park et al
227). These shorter door-to-balloon times were especially pronounced during business hours and weekend/evenings shifts (Scherer et al
Triage in the Emergency Department Arrival time to ECG. Although there has been some progress made in improving the performance of tertiary healthcare facilities in responding to the need to use evidence-based quality measures for acute myocardial infarction (AMI), there remains a need for improvement in a key publicly reported quality indicator for AMI (Webster, Curry & Berg, 2007)
They are not supposed to skip or stop taking the drugs. Otherwise if they do so they will increase their risks of having another attack (East Dean, 2010)
Anyone who has a positive family history should monitor their lipid levels, blood pressure and blood glucose levels very carefully. Besides, they should eat healthy and not have a sedentary lifestyle (Anderson et
Acute Myocardial Infarction PATHOPHYSIOLOGICAL PROCESS TEMPLATE DISEASE: Acute Myocardial Infarction is a common disease with very grave consequences in morbidity, mortality and cost to the society (Boersma et
If the blockage of the coronary artery persists for more than twenty minutes, irreversible damage to the muscle cells occur and ultimately cell death occurs (Kumar & Abbas et al., 2005) CLINICAL FEATURES: Chest Pain Pain radiating to left arm, shoulder, back or neck Nausea and vomiting Sweating Shortness of breath (Bruyninckx et
al, 1998), acute mitral insufficiency, heart failure and mural thrombosis (Keeley et.al, 1996) PROGNOSIS: The improvement in prognosis has occurred in the last decade mainly due to early treatment with reperfusion and thrombolytic agents (Hayashi et
COMPLICATIONS: The complications of Acute Myocardial Infarction are ventricular arrhythmias, cardiac rupture (Rosamond et.al, 1998), acute mitral insufficiency, heart failure and mural thrombosis (Keeley et
The thrombus then lodges inside a coronary artery and ultimately causes the blood flow occlusion. If the blockage of the coronary artery persists for more than twenty minutes, irreversible damage to the muscle cells occur and ultimately cell death occurs (Kumar & Abbas et al
The course of the disease, therefore, varies with the cause of the MI, the area of the heart involved and the treatment that is given to the patient. COMPLICATIONS: The complications of Acute Myocardial Infarction are ventricular arrhythmias, cardiac rupture (Rosamond et