Navigation Links
Acute Cardiac Care 2010
Date:10/16/2010

Sophia Antipolis, 8 October 2010: Today in most countries of the world almost 50 per cent of patients in hospital for a cardiac condition began their treatment as emergency cases: chest pain at home... a cardiac arrest in the street. Thus, according to Dr Peter Clemmensen, local chairman of this year's Acute Cardiac Care congress which opens in Copenhagen on 16 October, of the 22 million hospital admissions in Europe each year for acute cardiac events, more than 10 million of them would have begun as an emergency and without warning. "Early diagnosis is crucial in these cases for successful treatment and survival," he says, describing acute coronary care as "the most challenging field of cardiology".

Such events - evident as chest pain or at worst a cardiac arrest - are invariably the prelude to one of the most critical episodes of health care. Acute cardiac care, that first emergency phase in which the event is assessed and its cause treated, embraces a broad spectrum of diagnoses ranging from unstable angina to acute heart failure, from myocardial infarction to other life-threatening disorders of the heart.

Dealing with these cases - and importantly as quickly as possible - is the theme of Acute Cardiac Care 2010, this year's congress of the ESC's Working Group on Acute Cardiac Care, which takes place in Copenhagen from 16-19 October.

Details of story and interview opportunities for journalists can be found at the end of this press announcement. According to Dr Clemmensen, foremost among the challenges addressed at the congress will be the speed at which accurate diagnosis can be made using telemedicine, the risk-benefit analysis of early reperfusion therapy, and the provision of intensive coronary care units.

1. Diagnosis as early as possible

While there has been progress in improving overall mortality rates following acute myocardial infarction (AMI), survival rates when the arrest takes place outside hospital are poor - and no better than 5 per cent in some European countries. The key to improving survival rates are early and accurate diagnosis; once in hospital and undergoing acute cardiac care, patients have a much better chance of survival.

So, much depends on immediate intervention, which can be much more efficiently introduced if diagnosis can be made in the ambulance. "Two-thirds of European ambulances are now able to transmit digitalised ECG recordings," says Dr Clemmensen. "If we can reopen the occluded arteries - by angioplasty, surgery or thrombolysis - within the first hour, we can usually prevent damage to the heart muscle and improve the chance of survival. Timing is crucial, so we'll be considering at the congress how a more efficient paramedical service with telemonitoring ECG can shorten the time delay between the onset of symptoms and treatment."

2. The risk-benefit of early thrombolytic therapy

The latest ESC guidelines on the treatment of acute coronary syndromes emphasise the importance of therapies to prevent thrombosis and maximise the effect of other treatments (PCI, percutaneous coronary intervention with balloon angioplasty and stent, or coronary artery by-pass surgery). However, it is now clear that the administration of some of these antithrombotic treatments is also associated with a high risk of gastric bleeding. The guidelines state: "Since the vast majority of PCI procedures eventually conclude with stent implantation, every patient scheduled for PCI should be considered for pre-treatment with clopidogrel, regardless of whether stent implantation is intended or not." However, therapies like clopidogrel or prasugrel are also associated with a risk of (gastric) bleeding and a variation in response. "This is important," says Dr Clemmensen, "and the congress will consider the most effective dose and the most effective treatment for each individual patient. There's a delicate balance between beneficial effect and risk of bleeding." Finding a way to find this balance remains a major challenge in acute coronary care.

3. Intensive care units

Surveys indicate that there is a shortage of intensive coronary care beds in European hospitals. One in 20 patients admitted to hospital with an acute coronary syndrome are in a state of "cardiogenic shock", a condition in which the heart fails to pump adequately and which is the leading cause of death for acute heart attack patients. Again, PCI is the standard treatment, but these patients, says Dr Clemmensen, are most efficiently treated in intensive care units. Several presentations at the congress will consider the most effective way of dealing with patients with cardiogenic shock and in less than ideal circumstances.

Acute Cardiac Care 2010 will present new data on the way acute cardiac patients are managed, particularly in accordance (or not) with the latest guidelines. There have been significant improvements in mortality rates in acute patients admitted to hospital. The challenge raised at this congress is how to improve survival rates in that short period of time between onset of symptoms and first medical contact.


'/>"/>

Contact: Celine Colas
press@escardio.org
33-049-294-8627
European Society of Cardiology
Source:Eurekalert

Related medicine news :

1. Study supports alternative anti-seizure medication following acute brain injury
2. Nasal Irrigation for Treatment of Chronic and Acute Sinusitis and Rhinitis
3. Sickle Cell Disease Patients Seek Acute Pain Care Repeatedly
4. Sinus Dynamics Reaches Milestone with Treatment of Nasal Allergy, Sinus Infection, Acute and Chronic Sinusitis Treating 25,000th Patient
5. Do the blind have a more acute sense of smell?
6. Study finds rotavirus vaccine greatly reduces hospitalizations for acute gastroenteritis in children
7. Talyst Reaches Major Milestone: 500 Implementations in Long-Term Care, Acute Care and Corrections
8. Diabetes patients admitted for acute exacerbations of COPD have longer hospital stay
9. Brain responds same to acute and chronic sleep loss
10. New cardiac CT technology drastically reduces patient radiation exposure
11. Cardiac Science Sets Date for Fourth Quarter, Year-End Results Release and Conference Call
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/27/2017)... ... July 28, 2017 , ... ... upcoming episode of the award-winning television series, American Famer, scheduled to broadcast fourth ... , Syngenta is dedicated to helping humanity face its toughest challenge: how to ...
(Date:7/27/2017)... ... July 27, 2017 , ... MEDsys Software Solutions, the ... Care Organizations and Home Care Agencies, has been awarded CIO Applications Magazine’s Top ... solutions to over 1,000 agencies and multiple State Medicaid and Managed Care Programs. ...
(Date:7/27/2017)... ... July 27, 2017 , ... GAFFEY Healthcare, a leading provider ... Clinkscales to Vice President of Revenue Cycle Business Services and Suzanne Dusak to ... chief executive officer (CEO). , Elrene has been with company since Oct 2014 ...
(Date:7/27/2017)... ... 27, 2017 , ... Healthy eating isn’t always easy. Currently, more than 80 percent of Americans ... Americans overeat refined grains and sugar. This trend may help explain why the obesity rate ... are obese. , As a culture, we seem to have food on the brain more. ...
(Date:7/27/2017)... ... July 27, 2017 , ... ... compete to form startup companies around 117 breakthrough inventions from 55 institutions, including ... Institute, and National Institute of Biomedical Imaging and Bioengineering), the United States Army, ...
Breaking Medicine News(10 mins):
(Date:7/11/2017)... of Echenberg Institute, is announcing a new safe and effective at-home VuVa ... other painful pelvic pain conditions such as pelvic floor dysfunction, vulvodynia, vulvar ... ... VuVa ... company, VuVatech LLC, fills a void in the women,s wellness market because ...
(Date:7/10/2017)... , July 10, 2017  US medical equipment ... in 2021, according to Medical Equipment & ... by Freedonia Focus Reports. Continued increases in demand for ... aging of the population and supported by gains in ... equipment and supplies. New product introductions will also drive ...
(Date:7/10/2017)... S.C. , July 10, 2017  BDI ... purchasing and patient support services organization serving specialty ... today the launch of four significant, value-added member ... market insights, better manage reimbursement and improve access ... and factor therapies. ...
Breaking Medicine Technology: