Heart attack patients treated at hospitals with low care scores are at greater risk for another heart attack and/or death due to cardiovascular causes, Rutgers researchers found. Their study, published in the American Journal of Cardiology; compared care scores in the New Jersey Hospital Performance Reports with one-month and one year rates of readmission for heart attack or death due to cardiovascular causes.
Your heart troubles could get worse, if your attack cause by one of several vulnerable plaques tiny; so inflame buildups of fat that burst and plug up blood vessels any of which could be a ticking time bomb for another attack. Doctors come to believe as many as two-thirds of all heart attacks are cause by these vulnerable plaques; so brewing on blood vessel walls, which become inflame and suddenly rupture for undetermined reasons.
The other third are due to fatty blockages, or clogged arteries, and rarely, vessel spasms. A new study being publish in this week’s New England Journal of Medicine lends further credence to the theory that plaques; which in several locations throughout the heart’s vessels increase the likelihood of further heart disruptions.
Tip of the Iceberg When you have a heart attack, the area that emerges is the tip of the iceberg, explains the study’s lead author, James A. Goldstein, a cardiologist at the William Beaumont Hospital in Royal Oak, Mich. There is corrosion in the pipes throughout the house.
In the study, Goldstein and his colleagues examine the angiograms, or the X-ray images of the heart’s blood vessels; so from 253 heart attack patients and found that 40% of them had several remaining unstable plaques throughout the vessels in their hearts. Those patients with the multiple plaques, they found, were more likely to be repeat offenders for heart attack within the year.
They were also more likely to develop symptoms that require repeat repeat angioplasty or bypass surgery, he says. Researchers reviewed the electronic medical records of more than 160,000 patients; so at 80 New Jersey acute care hospitals from 2004 to 2015. In low-scoring hospitals, 3% of heart attack patients return to the hospital; whcih for a new heart attack within 30 days. At one year, 13% were readmit and about 8% died from cardiovascular causes.
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Patients who were admit to a teaching hospital had a 25% lower chance of readmission at one month. At one year, the chance of these patients suffering cardiovascular death; which was 10% lower than patients initially admit to a non-teaching hospital. The study found a higher risk for a new heart attack and or death among patients with conditions including acute heart failure, high blood pressure or chronic obstructive pulmonary disease.
But those risks are reduce in patients who are treat at a teaching hospital. Hospital performance scores have real health implications for patients who have had a heart attack; they said lead author William Kostis, an associate professor at Rutgers Robert Wood Johnson Medical School’s Cardiovascular Institute.
They already knew that the scores affect patients’ choices. When asked to prioritize hospital cost or hospital safety; hence patients prefer the safer hospital 97% of the time, regardless of cost. Kostis noted that healthcare providers can reduce the risk of death; also recurrence of heart attack by calling them after discharge to assess whether they are taking their medications as prescribed.