Latest news with #STEMI
Time of India
2 days ago
- Health
- Time of India
‘STEMI to ensure no heart patient in UP dies due to lack of treatment'
1 2 3 4 5 6 Lucknow: Heart patients in UP will soon be able to receive timely treatment at their nearest district hospital or community health centre, with the 'System of Treating Elevation Myocardial Infarction' (STEMI) care network. The initiative aims to provide advanced cardiac care during the critical 'golden hour' following a heart attack, increasing the chances of survival for patients even in remote areas. To support this, a three-day Training of Trainers (ToT) workshop began at Ram Manohar Lohia Institute of Medical Sciences (RMLIMS). The workshop is focused on training healthcare professionals, including doctors, staff nurses, and paramedics, to implement standardised STEMI protocols in their respective districts. These protocols are designed to ensure early diagnosis, prompt administration of medication, and timely patient transfer to higher centres when needed. Inaugurating the workshop, principal secretary of medical health & family welfare and medical education, Partha Sarthi Sen Sharma, emphasised the govt's vision of expanding emergency cardiac services across the state. He assured that there would be no shortage of Tenecteplase, the clot-dissolving drug used in heart attack cases, and that it would be made available even at the most remote healthcare centres. "Our goal is to ensure that no patient in Uttar Pradesh loses their life due to the non-availability of timely heart attack treatment," he said. The STEMI care network is based on a hub-and-spoke model. RMLIMS, through its cardiology department, will function as the central hub providing specialist oversight, ECG interpretation, and advanced intervention facilities. District hospitals in Ayodhya, Devipatan range, Sultanpur, and other regions will serve as spoke hospitals. These centres will be responsible for early diagnosis and initiation of treatment under the guidance of the hub. Dr Bhuwan Tiwari, head of cardiology at RMLIMS, explained the structure of the STEMI CARE protocol during the workshop. He introduced a step-by-step acronym that guides healthcare providers in managing heart attack patients. "The power of this program lies in empowering frontline health workers to act swiftly and correctly," he said. The acronym STEMI CARE stands for: Symptoms (identify cardiac symptoms), Time (note when symptoms started), ECG (perform and interpret a 12-lead ECG), Medical Management (give aspirin, clopidogrel, and atorvastatin), Initiate Thrombolysis (administer Tenecteplase if needed), Call the Hub (share patient data with the tertiary centre), Ambulance (arrange transfer with oxygen and IV access), Reassess (monitor vitals before transfer), and Ensure Handover (send referral documents with the patient). Senior cardiologist Dr Rishi Sethi from KGMU spoke about the clinical importance of timely STEMI care'. Varanasi CMO Dr Sandeep Chaudhary shared practical experiences from the field.
Medscape
4 days ago
- Business
- Medscape
In 10 Years, No Big Gains With Deferred Stenting in STEMI?
A 10-year follow-up study confirmed that compared with conventional immediate percutaneous coronary intervention (PCI), deferred stenting in patients with ST-segment elevation myocardial infarction (STEMI) did not reduce the composite of all-cause mortality or hospitalisation for heart failure (HF) but was associated with a reduction in hospitalisation for HF. METHODOLOGY: The multicentre DANAMI-3-DEFER trial in Denmark (March 2011 to February 2014) found no significant clinical benefits of deferred stenting over conventional PCI with immediate stenting for patients with STEMI; rather, it was associated with an increased risk for target vessel revascularisation. Researchers conducted a post hoc analysis of the trial to assess 10-year outcomes, evaluating 1215 patients with STEMI and acute chest pain for less than 12 hours from symptom onset. Patients were randomly assigned to receive either deferred stenting (n = 603), performed 24-48 hours after the initial PCI, or conventional PCI (n = 612), involving stent placement immediately after PCI. The primary outcome was a composite of hospitalisation for HF or all-cause mortality. TAKEAWAY: The 10-year cumulative incidence of hospitalisation for HF or all-cause mortality was not significantly different between patients in the deferred stenting group and those in the conventional PCI group. Hospitalisation for HF was 42% lower in the deferred stenting group than in the conventional PCI group (odds ratio, 0.58; P = .010). = .010). No significant differences in target vessel revascularisation were observed between the two groups. IN PRACTICE: "Unlike earlier findings, the extended follow-up showed that the increased incidence of target vessel revascularization in the deferred stenting group observed in the DANAMI-3-DEFER main trial appeared to diminish in the long-term," the authors of the study wrote. SOURCE: This study was led by Jasmine Melissa Marquard, MD, Copenhagen University Hospital, Copenhagen, Denmark. It was published online on May 20, 2025, in Circulation: Cardiovascular Interventions . LIMITATIONS: Owing to the open-label design of this trial, patients and treating physicians were aware of the treatments, which might have introduced biases. The findings should be interpreted with caution, especially considering the small sample size and the post hoc nature of the analysis. DISCLOSURES: The DANAMI-3-DEFER trial received funding from the Danish Agency for Science, Technology and Innovation and the Danish Council for Strategic Research. Additional disclosures are noted in the original article. Several authors reported receiving honoraria, advisory board fees, speaker fees, and grants from multiple pharmaceutical and medical technology companies, including AstraZeneca, Novartis, and Biotronik.
Time of India
17-05-2025
- Health
- Time of India
‘People above 30 years should get BP checked regularly'
Varanasi: To mark , the health department on Saturday launched a month-long public awareness campaign and screening activities. Chief medical officer Dr Sandeep Chaudhary said: "Every year on May 17, World Hypertension Day is celebrated. Tired of too many ads? go ad free now This year, the theme is 'measure your blood pressure accurately, control it, live longer'. The aim is to promote the prevention, early detection, and treatment of hypertension at the community level." During this period, awareness programmes will be held at district hospitals, all urban and rural CHCs and PHCs. These will include walkathons, marathons, rallies, cycling rallies, quizzes, slogan writing, painting competitions and street plays. Additionally, screening camps will be organised at govt health units, bus stands, railway stations and urban slums, where checks for hypertension, diabetes, and cancer will be conducted. The deputy CMO and programme nodal officer Dr YB Pathak said everyone over the age of 30 should regularly get their BP checked. "For this, under the STEMI project, arrangements have been made for testing at all community health centres (CHCs), including district hospitals. Anyone can go there to get tested," he said. He said: "Hypertension is also known as high blood pressure. It often results from an irregular lifestyle, obesity, ignoring stress and poor diet. By adopting a balanced diet and a healthy lifestyle, we can certainly avoid it. High BP can lead to serious conditions like heart attack, stroke, chronic kidney disease, and vision loss." Common symptoms include headaches, excessive stress, chest pain or heaviness, difficulty breathing, sudden anxiety, difficulty understanding or speaking, sudden numbness, tingling or weakness in the face, arms, or legs, or blurred vision. Tired of too many ads? go ad free now Preventive measures include maintaining an average blood pressure between 85 and 135. "If it exceeds this, seek treatment. Such patients should regularly monitor their blood pressure and pay special attention to their diet. Exercise to maintain a balanced weight, and avoid smoking and alcohol consumption," he said.
Yahoo
09-05-2025
- Health
- Yahoo
Warren hospital takes big step for life-saving care
WARREN, Ohio (WKBN) — A big step for life-saving care has just happened in the Valley. An expansion at St. Joseph Warren Hospital has reduced the need for patients to go somewhere else for specialized heart care. St. Joseph Warren Hospital got an emergency patient at 4 o'clock Tuesday morning. It was not routine. 'He was having chest pain for eight hours before he came in. When we took the first picture, his artery was blocked 100%,' said Dr. Fadi Naddour, interventional cardiologist. That's called a STEMI, and blood flow needs to be restored to the heart as quickly as possible. Lucky for the man from Texas, St. Joseph had just started around-the-clock treatment of STEMI patients. 'Time is heart, and the longer it takes you to travel somewhere, the more likely your heart is to be damaged off, permanently and irreversible,' said Jill Stefanucci-Uberti, VP of medical operations. Previously, patients would've been transferred to Mercy Health facilities in Youngstown or Cleveland. But the new team at St. Joseph did the work. 'The entire procedure took about 15 minutes, and he became chest pain free afterwards, and his EKG became so much better,' Naddour said. St. Joseph embarked on this journey about a year ago. It opened a cath lab and has completed 140 catheterizations. It's also broadened access to pacemaker procedures. Some members of the team came from right down the road. 'I mean, we've been doing this at Trumbull for 20 years, and after Trumbull has closed, St Joe took over completely, so we transferred the entire team, the entire process,' Naddour said. 'You have plenty of new, fresh people who are excited to learn, who want to be a part of the process, who provided the heavy lift before Trumbull actually closed,' Stefanucci-Uberti said. The first overnight STEMI patient is doing well and was expected to be released from the hospital Thursday. Copyright 2025 Nexstar Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
New Indian Express
04-05-2025
- Health
- New Indian Express
Rs 25 lakh health coverage for 1.65 crore Andhra families soon: Health Minister Satya Kumar Yadav
NELLORE: Health Minister Y Satya Kumar Yadav on Saturday announced that the State government is set to introduce a comprehensive health insurance scheme under the NTR Vaidya Seva, offering up to Rs 25 lakh in coverage for 1.65 crore poor and middle-class families in Andhra Pradesh. Speaking after inaugurating a five-bed dialysis centre at the Podalakur Community Health Centre (CHC) in Sarvepalli constituency, the minister said the scheme is one of the largest in the country and will be implemented shortly. He said the initiative would benefit 1.43 crore poor families and 22 lakh middle-class households. In contrast to the previous government, which set up only seven dialysis centres in five years, the current government has established 18 centres in just 10 months, including three in the undivided Nellore district. Satya Kumar Yadav attributed a rise in kidney, liver, and nerve-related ailments during the previous regime to the consumption of low-quality liquor, blaming the former administration for neglecting public health. Nearly 4.95 lakh dialysis sessions have been completed in the last 10 months, and the government plans to expand capacity to 6 lakh sessions. Under the STEMI initiative, life-saving injections worth Rs 45,000 are being provided free to heart attack patients during the golden hour. So far, 2,800 patients have received the injections, saving 2,788 lives, the minister revealed. 'The State government also aims to conduct free cancer screenings for 4.10 crore people and has already covered 3 crore. Preventive oncology units with specialist doctors are being set up, with an emphasis on strengthening rural healthcare infrastructure,' he added. Satya Kumar Yadav appreciated Sarvepalli MLA Somireddy Chandramohan Reddy for donating three additional dialysis beds, supplementing the five provided by the government. On the occasion, Somireddy urged the minister to appoint orthopaedic specialists to issue disability certificates and upgrade the Podalakur health centre from 30 to 50 beds. RTC Zonal Chairman Suresh Reddy and other health officials were present.
