Treatment of acute myocardial infarction and 30-day mortality among women and men

Article Abstract:

Women who are hospitalized for a heart attack do not receive the same treatment as men. In a study of 138,956 Medicare beneficiaries who had a heart attack, women were less likely than men to receive cardiac catheterization or drugs that prevent blood clotting. However, these differences were small and did not have any impact on 30-day mortality rates. Women were just as likely to receive beta blockers or ACE inhibitors but were more likely to have a doctor's order not to provide cardiac resuscitation if the woman had a cardiac arrest.

Analysis, Women, Discrimination in medical care, Medical care discrimination

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Sirolimus-eluting versus uncoated stents in acute myocardial infarction

Article Abstract:

A prospective, randomized, multicenter trial was conducted to compare the effectiveness of sirolimus-eluting stents with that of uncoated stents in primary percutaneous coronary intervention (PCI) for acute myocardial infarction with ST-segment elevation. Results revealed that the use of the sirolimus-eluting stent was associated with significant reductions in the rate of target-vessel failure due to reduced target-vessel revascularization and in the severity of in-stent late luminal loss and in-stent restenosis.

New England States, Health aspects, Sirolimus

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The length of the hospital stay after myocardial infarction

Article Abstract:

Doctors need to find ways to identify heart attack patients with a low risk of complications who can be discharged from the hospital after a few days. A 2000 study showed that keeping patients who were stable longer than three days was not cost-effective. However, these patients by definition had a very low risk of complications. Patients with a higher risk may need longer hospital stays.

Editorial, Hospital utilization, Hospital stays

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