Angina Often Affects Quality of Life

admin | September 18, 2009

Angina Often Affects Quality of Life

New strategy for managing chest pain may be warranted, study suggests

Posted September 18, 2009

 

FRIDAY, Sept. 18 (HealthDay News) — Many people with chronic angina experience frequent chest pain that affects their quality of life, a new study finds.

Angina, a tightness or discomfort in the chest caused by narrowing of a coronary artery, can lead to heart attacks.

Australian researchers surveyed more than 2,000 chronic angina patients and found that 29 percent of them experienced chest pain at least once a week, despite receiving treatments such as medications, balloon/stent procedures and bypass surgery.

Title: A Meta-Analysis of 3,773 Patients Treated With Percutaneous Coronary Intervention or Surgery for Unprotected Left Main Coronary Artery Stenosis

admin | September 18, 2009

Title: A Meta-Analysis of 3,773 Patients Treated With Percutaneous Coronary Intervention or Surgery for Unprotected Left Main Coronary Artery Stenosis
Topic: Interventional Cardiology
Date Posted: 9/18/2009
Author(s): Naik H, White AJ, Chakravarty T, et al.
Citation: JACC Cardiovasc Interv 2009;2:739-747.
Clinical Trial: No

How long will a heart stent last?

admin | September 18, 2009

How long will a heart stent last?

Expert Q and A with Dr. Otis Brawley

Updated: Thursday, 17 Sep 2009, 9:07 PM EDT
Published : Thursday, 17 Sep 2009, 9:07 PM EDT

(CNN) - I had a stent placed in my heart on December 9, 2002. What is the longevity for this stent? It was the newer kind that was safer at the time.

                                                    —-  Shirley Hoegberg, Stuart, Florida

 

Expert answer

Depression significantly increases a person’s risk of dying in the years after undergoing coronary artery bypass surgery (CABG), report researchers publishing in The Lancet.

admin | September 13, 2009

Depression significantly increases a person’s risk of dying in the years after undergoing coronary artery bypass surgery (CABG), report researchers publishing in The Lancet.
 
According to the Duke University investigators, moderate to severe depression before surgery more than doubles the risk of dying within the first years after surgery. Mild depression before surgery also increases the risk, if the depression persists for at least six months following the operation.
Many studies have linked bypass surgery to depression. But little research exists on how depression may impact death rates in people who undergo the operation. These researchers followed 817 patients who had bypass surgery at Duke between 1989 and 2001. All the patients underwent standard tests to measure depression before having their operations and then again six months after the surgery. Follow up continued for up to 12 years.
After five years of follow up, researchers noted 122 deaths in the group. Among these, about 40 percent had been diagnosed with depression. One third of the patients had moderate to severe depression, while the rest had mild depression.
The authors conclude, “Many patients who undergo CABG are at increased risk of death because they are clinically depressed; this risk could be reduced by treatment of depression after surgery.” They call for additional studies to assess the effectiveness of depression treatments in reducing the death rate in patients who undergo bypass surgery.  SOURCE: The Lancet, 2003;362:604-609

There are several factors that can lead to depression after heart attack. The stress of being in the hospital, the fear of another heart attack, time away from work can all contribute to feeling depressed, helpless, down and despondent.

admin | September 13, 2009

There are several factors that can lead to depression after heart attack. The stress of being in the hospital, the fear of another heart attack, time away from work can all contribute to feeling depressed, helpless, down and despondent.

Recent studies show that as many as 65% of people who have a heart attack report feeling depressed, down and despondent. A general state of despair. Moreover, women, people who have been depressed before, and people who feel alone and without social or emotional support are at a higher risk for feeling depressed after a heart attack. Two new Canadian studies have shown that More than twice as many women than men tend to fall into chronic depression after suffering a heart attack and are more likely to lead lives of poorer quality following their treatments.

Study compares survival following different heart disease treatments in patients with ESRD

admin | September 13, 2009

Study compares survival following different heart disease treatments in patients with ESRD

Towards patients with the greatest step renal disease (ESRD) on dialysis who also must be treated for heart disease, stents provide the choicest ditty-year survival compared with other revascularization treatments, but bypass surgery provides the most qualified long-term survival, according to a paper being presented at the American Society of Nephrology’s 41st Annual Meeting and Scientific Exposition in Philadelphia, Pennsylvania.

How can Interventional cardiologist’s best utilize IECP ‘Increased External Counterpulsation?’

admin | September 12, 2009

How can Interventional cardiologist’s best utilize IECP ‘Increased External Counterpulsation?’ 

Buy IECP ?

Is there a way in which Interventional Cardiologists utilize IECP ‘Increase External Counterpulsation’ along with their catheterization procedures? Since its beginning External Counterpulsation had been a modality of dislike for most of the interventional cardiologists and cardiovascular surgeons, despite its apparent potential benefits. There are several possible reasons, but we are not going to discuss the same in this topic. But there is a broad range of patients which an interventional cardiologist or a cardiac surgery centre/ hospital comes across, which are suitable for IECP ‘Increased External Counterpulsation’.

Many heart attack patients not referred to cardiac rehab

admin | September 7, 2009

By Steven Reinberg, HealthDay Reporter

MONDAY, July 27 (HealthDay News) — Even though cardiac rehabilitation has been shown to guard against future heart trouble once a cardiovascular event has landed someone in the hospital, only 56 percent of these patients are referred for the therapy, a new study finds.

Despite national guidelines that say hospitalized patients with a qualifying cardiovascular disease event should be referred to outpatient cardiac rehabilitation before hospital discharge, the study demonstrates this doesn’t happen often enough, the researchers noted.

“Cardiac rehabilitation improves clinical outcomes, but is widely underutilized,” said researcher Dr. Gregg C. Fonarow, a professor of cardiology at the University of California, Los Angeles.

Cardiac rehabilitation saves lives

admin | September 7, 2009

June 8th, 2009

Coronary heart disease (CHD) is the leading cause of death worldwide and a major driver of medical and economic costs, especially among older adults. It has long been established that cardiac rehabilitation improves survival, at least in middle-aged, low- and moderate-risk white men. Now a large Brandeis University-led study published in the Journal of the American College of Cardiology reports that older cardiac patients benefit as much from cardiac rehab as their younger counterparts. , in 2004, 7.2 million people died from CHD, while in the United States alone, more than 13 million people suffered from CHD, and almost half a million died from in 2003. Moreover, Americans aged 65 and older account for more than 55 percent of heart attacks and 86 percent of CHD deaths.

Cardiac rehabilitation: Building a better life after heart disease

admin | September 7, 2009

(MayoClinic.com) Cardiac rehabilitation is a medically supervised program to help you recover after a heart attack, from other forms of heart disease or after surgery to treat heart disease. Cardiac rehabilitation is often divided into phases that involve various levels of monitored exercise, nutritional counseling, emotional support, and support and education about lifestyle changes to reduce your risks of heart problems.

Cardiac rehabilitation often begins while you’re still in the hospital and continues through monitored programs in an outpatient setting until home-based maintenance programs can be safely followed.

Cardiac Care Options

Treatment
Cost
Invasive?
CABG
$$$$$
Yes
TMR
$$$$
Yes
Angio/Stent
$$$$
Yes
Medicine
$$
No
ECP
$
No
Rehab
$
No

For more information about each cardiac treatment please click on each treatment title or one of the tabs at the top of the page.

 


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