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    More Heart Attack Deaths on Weekends

    Fewer Aggressive Treatments Given Than on Weekdays, Study Shows
    WebMD Health News
    Reviewed by Louise Chang, MD

    March 14, 2007 -- You may have a better chance of surviving a heart attack on a weekday.

    Heart attack patients admitted to hospitals on weekends appear to have a higher death rate than those admitted during the week, new research shows.

    After reviewing hospital admissions data for first-time heart attacks in New Jersey over a 15-year period, researchers concluded that the difference in mortality for weekend vs. weekday admissions was roughly 1%.

    That means that for every 100 people treated for first-time heart attacks on the weekends, one person will die unnecessarily, the study’s author, William J. Kostis, PhD, tells WebMD. The study appears in The New England Journal of Medicine.

    Last week, Canadian researchers reported similar findings in stroke patients. They concluded that stroke victims were 13% more likely to die when they were hospitalized on weekends than on weekdays.

    Though the suggestion from both studies is that many hospitals may not offer their highest level of critical care during the weekends, nobody is suggesting that patients delay treatment even for a minute.

    “If a person is having symptoms that suggest a heart attack or stroke, it is absolutely critical that they get to a hospital as quickly as possible, and that usually involves calling 911,” Kostis says.

    The best way to stop a heart attack in its tracks is to open blocked arteries as soon as possible.

    “No matter what day it is, seeking care is infinitely better than staying home with a potentially fatal illness,” American Heart Association spokesman David A. Meyerson, MD, tells WebMD.

    Less Aggressive Treatment

    In the newly reported study, published in the March 15 issue of The New England Journal ofMedicine, Kostis and colleagues from the Robert Wood Johnson Medical School examined hospital admissions data from all New Jersey hospitals between 1987 and 2002.

    During that time, 231,164 patients were admitted to hospitals for first-time heart attacks.

    No major differences were seen in the patients’ demographic characteristics, overall health, or heart attack site.

    But patients admitted on the weekends were one-third less likely to undergo artery-opening procedures such as balloon angioplasty by the second hospital day.

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