New website brings together primary care resources for Wales

New website brings together primary care resources for Wales

November 20 2017 Public Health Wales has launched a new website for primary care. Primary Care...

HPV jab could mean only three cervical screens in a lifetime

HPV jab could mean only three cervical screens in a lifetime

November 15 2017 The human papilloma virus vaccine could reduce to three the number of times a...

Oral Mouth Cancer Awareness campaign’s ‘Blue Wednesday’ is today

Oral Mouth Cancer Awareness campaign’s ‘Blue Wednesday’ is today

November 15 2017 Health professionals are being asked to take part in ‘Blue...

PHE updates malaria prevention guidelines for UK travellers

PHE updates malaria prevention guidelines for UK travellers

November 14 2017 Public Health England has changed a number of recommendations in the guidance on...

Become an Antibiotic Guardian in World Antibiotic Awareness Week

Become an Antibiotic Guardian in World Antibiotic Awareness Week

November 13 2017 Practice teams are being encouraged to pledge to become antibiotic guardians...

  • New website brings together primary care resources for Wales

    New website brings together primary care resources for Wales

    Monday, 20 November 2017 16:05
  • HPV jab could mean only three cervical screens in a lifetime

    HPV jab could mean only three cervical screens in a lifetime

    Wednesday, 15 November 2017 10:58
  • Oral Mouth Cancer Awareness campaign’s ‘Blue Wednesday’ is today

    Oral Mouth Cancer Awareness campaign’s ‘Blue Wednesday’ is today

    Wednesday, 15 November 2017 10:48
  • PHE updates malaria prevention guidelines for UK travellers

    PHE updates malaria prevention guidelines for UK travellers

    Tuesday, 14 November 2017 19:03
  • Become an Antibiotic Guardian in World Antibiotic Awareness Week

    Become an Antibiotic Guardian in World Antibiotic Awareness Week

    Monday, 13 November 2017 11:44

a stethoscope image cbAugust 31 2017

More consideration should go into deciding treatments for heart attack patients with other long term health conditions, the British Heart Foundation has indicated.

 The recommendation is based on analysis of the 693,388 cases of heart attack treated in 247 hospitals in England between January 2003 and June 2013. BHF funded the study conducted by University of Leeds researchers who used data from the Myocardial Ischaemia National Audit Project (MINAP).

“The researchers looked at treatments that guidelines recommend be considered for patients who had a heart attack. They assessed how often these treatments were given and compared this with whether guidelines at that time suggested that they were appropriate,” said the BHF.

Data indicated that 40% of heart attack patients also had a long-term health condition, such as diabetes, stroke, heart failure and renal failure. Of these, “86% did not receive optimal care and these patients had a 250% increased risk of dying compared with patients who did not have a long-term condition.”

In addition, “patients with heart attack and heart failure or renal failure were the least likely to receive optimal care. Patients with heart failure received 7.3% fewer treatments than heart attack patients with no long-term conditions, whilst patients with renal failure received 6.1% fewer treatments.

“These patients had the highest risk of death, and for patients with heart failure and a heart attack, the researchers found that despite optimal heart attack care the risk of death was similar to patients who did not receive all heart attack care opportunities.”

Commenting on the findings, BHF’s medical director, Professor Sir Nilesh Samani, said having a long-term condition can complicate treatment. “Choosing the best treatment has to factor in the other medicines that the patient is taking, as well as the potential side-effects. This sometimes means a person doesn’t necessarily get the most effective treatments, but it still could be the best choice under the circumstances.

“This study shows that patients with long-term conditions could see substantial benefits if extra effort is put into deciding the best possible treatments. It also highlights the need for research to develop further treatment options for doctors and more effective medicines for these patients.”

Links:
BHF announcement        
Myocardial Ischaemia National Audit Project (MINAP) 

Professional News

November 21 2017 Recruitment into GP training places in Wales has passed the target set for this year. The Wales Deanery has said that 144 GP training places have been filled, passing the target of...
December 10 2015 A doctor may find themselves the subject of an investigation at any time in their career, from medical students to trainee doctors, GPs or consultants. Whether it’s an issue...