Navigation Links
Heart attack patients could be treated more quickly after Manchester research
Date:7/25/2014

Heart attack patients could be treated more quickly after Manchester research

Clinical judgement, combined with an electrocardiogram (ECG) and blood test on arrival, is effective in reducing unnecessary hospital admissions for chest pain, a new study shows.

The findings of a research group in Manchester, published in the Emergency Medicine Journal, could potentially make a huge difference to a large number of patients.

Chest pain is the most common reason for emergency hospital admission. In Manchester, the incidence of premature death due to heart disease and stroke is amongst the highest in England.

Previous research has shown that typical symptoms in patients presenting to emergency departments have not been useful in differentiating between heart conditions requiring immediate hospital admission (acute coronary syndromes; ACS), and non-cardiac conditions. This is because the symptoms of patients with heart disease can be similar to those experienced by patients with non-cardiac conditions, such as indigestion. However, the role of overall clinical judgement has not been extensively studied.

The latest research, led by Dr Richard Body, Consultant in Emergency Medicine at Manchester Royal Infirmary, assessed the diagnostic accuracy of emergency doctors' clinical judgement for acute coronary syndromes both alone and in combination with the tests available on arrival ECG and a blood test which detects a protein called troponin.

The study was undertaken at Stockport NHS Foundation Trust, where doctors in the emergency department recorded their overall clinical judgement for ACS using a five-point Likert scale (from 'definitely ACS' to 'definitely not' ACS). This data was then compared with patients' outcomes, including heart attack or the occurrence of major adverse cardiac events within 30 days.

The results showed that for patients who are suspected to have an ACS, clinical judgement cannot be relied upon by itself to rule out or rule in that diagnosis. However, when combined with an ECG and troponin test clinical judgement appeared to be an effective tool and the results suggest that at least 25 per cent of patient admissions could have avoided. The study also suggested that this was the case regardless of whether the clinician was a consultant or junior doctor.

Dr Rick Body, who is also National Institute for Health Research Postdoctoral Research Fellow and Honorary Lecturer in Cardiovascular Medicine at The University of Manchester, said: "I think the beauty of this technique is its simplicity. For years we've been working hard to improve our technology and our tests for heart attacks. This research suggests that, if the initial tests are normal and the doctor thinks that the diagnosis of a heart attack is unlikely, it may be perfectly safe to reassure patients that they do not have a heart attack without relying on further tests and observation in hospital.

"It is still early days but the study, which was funded through an NIHR Clinical Lecturer grant and a College of Emergency Medicine Research Grant, could potentially make a huge difference to large numbers of patients.

"In order to ensure the safety of patients, further research is still vital to ensure that our findings can be repeated with different groups of doctors and patients. We will also need to know if doctors would be confident enough in their judgement to use the technique in practice."


'/>"/>
Contact: Alison Barbuti
alison.barbuti@manchester.ac.uk
44-016-127-58383
University of Manchester
Source:Eurekalert

Related medicine news :

1. High-Salt Diets Could Double Risk of Heart Woes for Diabetics
2. FCCI Insurance Group Recognized as an American Heart Association Fit-Friendly Worksite
3. Diet Doc’s Medical Weight Loss Programs Introduce Specialized Cholesterol Diet Plans that Deliver Fast Weight Loss and Reduce the Risk for Heart Attack and Stroke
4. Gene variant identified as a heart disease risk factor for women
5. The heart of an astronaut, five years on
6. Ronald S. Weaver, MD, Owner of Global Cardio Care Centers, Announces EECP Treatment Success for Cardiomyopathy Patient Who Needed Heart Transplant
7. No Change in Heart Attack Rates for Younger U.S. Adults
8. Young women with a heart attack continue to fare worse than men
9. Irregular Heart Rhythm Ups Stroke Risk Soon After Heart Surgery
10. Healing the heart with fat
11. Heart disease: First Canadian survey shows women unaware of symptoms and risk factors
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/23/2016)... ... May 23, 2016 , ... ... to provide information about cosmetic procedures, began updating their library of over 300 ... of their published articles in order to feature the latest breakthroughs in plastic ...
(Date:5/23/2016)... ... May 23, 2016 , ... ... Chesterfield, Missouri, campus, Standard Process Inc. awarded $6,000 in chiropractic scholarships. ... Chloe Tillman. Each student is in her fifth trimester of classes at Logan. ...
(Date:5/23/2016)... (PRWEB) , ... May 23, 2016 , ... Octo Consulting ... to the federal government, is proud to announce they have recently won two awards ... International’s 2016 Small Business of the Year. Additionally, Octo VP of Civilian Affairs, ...
(Date:5/23/2016)... (PRWEB) , ... May 23, 2016 , ... ... offers quality products, but also provides inspection and repair services for MadgeTech data ... product and contribute to making them one of MadgeTech's most praised and valued ...
(Date:5/23/2016)... Falls Church, VA (PRWEB) , ... ... ... the Best Device Sample Size for Verification and Validation:, Tools to Safely ... 3:00 p.m. ET, http://www.fdanews.com/bestdevicesamplesizevv                  , Today's FDA inspectors focus ...
Breaking Medicine News(10 mins):
(Date:5/23/2016)... 23, 2016 The World Health Organization (WHO) expanded ... to include adolescents aged 13 years, and above. Effective immediately, ... for adult and adolescent males in the 14 priority countries ... was the first male circumcision device to receive WHO Prequalification ... Eddy Horowitz said: " The expanded use ...
(Date:5/23/2016)... UAE, May 23, 2016 Experts ... of Precision Medicine and the role of technology ...   The First International Conference of VPS-Penn Medicine ... distinguished patronage and presence of Sheikh Nahyan bin Mubarak Al ... in Precision Medicine, which helps provide personalized medicine and tailor-made ...
(Date:5/23/2016)... May 23, 2016 The global  ... 5.0 billion by 2022, according to a new study ... medical waste coupled with the lack of centralized support ... to drive the demand for reprocessed medical devices market. ... compared to that of the original device is the ...
Breaking Medicine Technology: