Early [Beta]-Blocker Therapy for Acute Myocardial Infarction in Elderly Patients
Increasing the early use of Beta-blockers for patients who were hospitalized with an acute myocardial infarction would provide an excellent opportunity to improve their care and outcomes. Of 58,165 patients, 28,256 (49%) received early Beta-blocker therapy, but the 51% of patients who were at highest for in-hospital death were the least likely to receive therapy. Patients who received Beta-blockers had a lower in-hospital mortality rate than patients who did not receive Beta-blockers even after adjustment for differences. The early use of Beta-blockers should be increased for these patients to improve their care and outcomes.
Publication Name: Annals of Internal Medicine
Thrombolytic therapy for eligible elderly patients with acute myocardial infarction
Many elderly heart attack patients are not receiving thrombolytic therapy even though they might benefit from it. Thrombolytic drugs break up the blood clots that cause most heart attacks. Researchers analyzed Medicare data on 3,093 patients treated for a heart attack. Of the 753 patients who had no contraindications for thrombolytic therapy, over half did not receive it. Those who were older, had no chest pain and who were hospitalized more than 6 hours after their symptoms began were most likely not to receive thrombolytic therapy.
Publication Name: JAMA, The Journal of the American Medical Association
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