Experts Call for Speedier Heart Care
Hospital Care Within 90 Minutes of Arrival Cuts Risk of Heart Attack Death
Nov. 13, 2006 - Speedier hospital treatment for heart attack victims could
save lives, the American Heart Association (AHA) said today as it announced a
program to speed up care.
Only about a third of those who suffer major heart attacks are being treated
quickly enough, says the AHA. The campaign launched by the AHA and the American
College of Cardiology (ACC) is designed to fix that problem.
Studies show that treatments like angioplasty plus a stent to prop open
blocked arteries can cut the risk of dying by 40%. However, that holds true
only if the procedure is done within 90 minutes of a patient's arrival at the
hospital. If care is delayed even half an hour longer, the risk of dying shoots
up about 40%.
"It's all about saving lives," says Steven Nissen, MD, a
cardiologist at The Cleveland Clinic and president of the ACC.
The program, sponsored by the National Heart, Lung and Blood Institute, was
announced here at the annual AHA meeting. It was simultaneously posted online
by The New England Journal of Medicine.
Good Care=Rapid Care
The program consists of six steps aimed at getting people who suffer a
common type of heart attack quicker treatment once they arrive at a
The average time between when a person comes in the hospital door and when
he has angioplasty is currently 104 minutes, according to Elizabeth H. Bradley,
PhD, of Yale University School of Medicine, who helped design the project.
"The variation between the fastest and slowest hospital in the U.S. is
20 minutes. That's huge." she says.
It doesn't matter if you have the best doctors, Bradley tells WebMD. It
depends on how the system works, she says.
People interested in finding out the response times of hospitals in their
area can go to www.hospitalcompare.hhs.gov.