Navigation Links
Age No Bar to Aggressive Rx for Cardiogenic Shock
Date:2/16/2009

The heart condition is a major killer of people over the age of 75, researchers note

MONDAY, Feb. 16 (HealthDay News) -- Age shouldn't prevent the aggressive treatment of elderly patients with heart attack complicated by cardiogenic shock, Australian researchers report.

Cardiogenic shock (CS) occurs when the heart fails to supply enough blood to the body's organs. It is the most common cause of death after heart attack among Americans over the age of 75.

There's typically been widespread reluctance to use invasive treatments on elderly heart patients. However, this study found that elderly patients with heart attack complicated by CS who underwent percutaneous coronary intervention (PCI) had a one-year survival rate similar to that of younger patients.

"Elderly patients who are admitted to the hospital with massive heart attacks may still benefit from emergency coronary artery balloon angioplasty with stenting, despite their advanced age. Although mortality occurs in roughly half of patients in these high risk situations, without this aggressive treatment, the prospect of survival is very poor," study senior author David Clark, an interventional radiologist at Austin Hospital in Melbourne, said in an American College of Cardiology news release.

He and his colleagues analyzed data on 143 heart attack patients, including 45 elderly patients, treated between 2004 and 2007. The elderly patients were more likely to be female and to have hypertension, kidney failure, multi-vessel coronary artery disease and to have a had a previous heart attack.

There were no significant differences between the elderly and younger patients for in-hospital, 30-day and one-year death rates, the researchers reported in the February issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

"A patient's age in and of itself should not be used to deny someone more aggressive, invasive care with angioplasty for cardiogenic shock," Dr. Judith S. Hochman, a professor of cardiology and director of the Cardiovascular Clinical Research Center at the New York University School of Medicine, said in an American College of Cardiology news release.

"Having said that, we need to better understand and standardize criteria to improve selection of older patients who are likely to benefit. For example, as shown in this study, kidney function clearly is a useful indicator that a patient will do well. What we don't want is to subject patients to uncomfortable, unnecessary procedures if they will not derive a benefit in terms of quality of life or life prolongation," Hochman said.

More information

The U.S. National Heart, Lung, and Blood Institute has more about seniors and heart attack.



-- Robert Preidt



SOURCE: American College of Cardiology, news release, Feb. 16, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Researchers discover metabolite linked to aggressive prostate cancer
2. Marijuana Linked to Aggressive Testicular Cancer
3. Aggressive Treatment Effective in Kids Brain Cancer
4. Gene mutations increase risk for aggressive prostate cancer
5. Global Health Community Commits Over $630 Million in Aggressive Push for Polio Eradication
6. Susan G. Komen for the Cure(R) and Triple Negative Breast Cancer Foundation Unite to Fight Aggressive Form of Breast Cancer
7. New insight into aggressive childhood cancer
8. Aggressive Therapy May Stem CF Progression in Infants
9. MedPro Imaging Continues Aggressive U.S. Expansion
10. Women with mitral valve prolapse are treated less aggressively than men and may be at high risk
11. Study Suggests Need for More Aggressive Outpatient Monitoring of Patients Hearts When Cause of Stroke is Unclear
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Age No Bar to Aggressive Rx for Cardiogenic Shock
(Date:6/27/2016)... ... June 27, 2016 , ... ... health professionals, announced today its affiliation with Tennessee Counseling Association. This ... the network of the Tennessee Counseling Association, adding exclusive benefits and promotional offers. ...
(Date:6/27/2016)... ... June 27, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star rating to ... of individuals in the United States and Canada wear eyeglasses. Once considered to be ... vision and make a fashion statement. Even celebrities use glasses as a way of ...
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... Pixel Film ... Pro X. , "Film editors can give their videos a whole new perspective by ... Austin - CEO of Pixel Film Studios. , ProSlice Levels contains over 30 ...
(Date:6/26/2016)... ... June 26, 2016 , ... ... have been diagnosed with endometriosis. These women need a treatment plan to not ... comprehensive approach that can help for preservation of fertility and ultimately achieving a ...
(Date:6/25/2016)... ... , ... The temporary closing of Bruton Memorial Library on June 21 due to a possible ... often overlooked aspect of head lice: the parasite’s ability to live away from a human ... but a necessary one in the event that lice have simply gotten out of control. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 According ... by Type (Standard Pen Needles, Safety Pen Needles), Needle ... GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) - ... This report studies the market for the forecast period ... reach USD 2.81 Billion by 2021 from USD 1.65 ...
(Date:6/24/2016)... Belgium , June 24, 2016 ... the appointment of Dr. Edward Futcher ... Non-Executive Director, effective June 23, 2016.Dr. Futcher was ... Nominations and Governance Committees.  As a non-executive member ... independent expertise and strategic counsel to VolitionRx in ...
(Date:6/23/2016)... 2016  MedSource announced today that it has ... solution of choice.  This latest decision demonstrates MedSource,s ... their clients by offering a state-of-the-art electronic data ... nowEDC as the EDC platform of choice in ... "nowEDC has long been a preferred EDC platform ...
Breaking Medicine Technology: