US 始める，決めるs 記録，記録的な／記録する for fastest heart attack care: Now 93% of 患者s have their arteries opened within 90 minutes

  • 危険 of dying 増加するs by 42% if a heart attack 患者 is not 扱う／治療するd in 90 mins
  • Now, 記録，記録的な／記録するs from US hospitals show the artery 手続き is done in that time
  • The 手続き 伴う／関わるs flattening a clog in the arteries with a tiny balloon?

By ASSOCIATED PRESS

Published: | Updated:

There's never been a better time to be 扱う／治療するd for a heart attack.?

U.S. hospitals have 始める，決める a 記録，記録的な／記録する for how quickly they open 封鎖するd arteries, 普通の／平均（する）ing under one hour for the first time since these results have been 跡をつけるd.

More than 93 パーセント of 患者s now have their arteries opened within the recommended 90 minutes of arrival.

'Things have definitely 改善するd' from a １０年間 ago, when いっそう少なく than half of heart attack 患者s were 扱う／治療するd that 急速な／放蕩な, said Dr. Fred Masoudi, a University of Colorado cardiologist who led a 最近の 報告（する）／憶測 診察するing 返答 times.

The risk of dying goes up 42 percent if care is delayed even half an hour beyond the 90 minutes that U.S. guidelines say patients should be treated after arrival (file image)

The 危険 of dying goes up 42 パーセント if care is 延期するd even half an hour beyond the 90 minutes that U.S. 指導基準s say 患者s should be 扱う／治療するd after arrival (とじ込み／提出する image)

It's based on 記録，記録的な／記録するs from about 85 パーセント of U.S. hospitals that do the artery 手続き, angioplasty.?

Through a 血 大型船 in the groin or an arm, doctors guide a tube to the blockage 原因（となる）ing the heart attack. They inflate a tiny balloon to flatten the clog, and leave behind a mesh tube called a stent to 支え（る） the artery open.

The sooner 血 flow is 回復するd, the いっそう少なく chance of 永久の 損失.

'It's one of the few things in 薬／医学 w here time, literally seconds, is of the essence. It's where the phrase 'time is muscle' comes from,' said Dr. Ajay Kirtane, director of the lab that 成し遂げるs angioplasties at New York-Presbyterian/Columbia University 医療の 中心.

The 危険 of dying goes up 42 パーセント if care is 延期するd even half an hour beyond the 90 minutes that U.S. 指導基準s say 患者s should be 扱う／治療するd after arrival.

In 2005, this 'door-to-balloon' time 普通の／平均（する）d a dismal 96 minutes, and the American College of Cardiology led a 運動 to get hospitals to 改善する. The reportshows it 急落（する），激減（する）d to 59 minutes in 2014.

It was only 24 minutes for George Smith at UConn John Dempsey Hospital in Farmington, Connecticut.?

The 82-year-old woke up on March 31 with 激しい jaw 苦痛, the same 肉親，親類d he had during a heart attack two years ago. His wife called 911. An 救急車 素早い行動d him to the 緊急 room, and 'they were all waiting for me' at the door, he said.

An hour later he was sitting up in bed with a new stent. 'I was amazed,' he said. 'Such a blessing.'

One 推論する／理由 UConn is so 急速な／放蕩な - its median door-to-balloon time was 56 minutes last year, and only 39 minutes during one 最近の ４半期/4分の1 - is the work it has done to make its 緊急 responders part of the cardiac care team, said the hospital's 欧州通貨制度 調整者／コーディネーター, Peter Canning.

'We used our paramedics to 延長する our hospital into the 患者's home,' where they do an 広範囲にわたる electrocardiogram of the heartbeat and call results ahead to the hospital to get the angioplasty room ready, he said. 'Calling from 25 minutes out instead of 5 minutes out can be a 貯金 of 20 minutes of heart muscle.'

But all that 速度(を上げる） by the hospital won't do much good unless 患者s 行為／法令／行動する 急速な／放蕩な, too, and call 911 if they think they might be having a heart attack.

The 警告 調印するs:

  • 不快 in the 中心 of the chest 継続している more than a few minutes, or that goes away and comes 支援する. It can feel like 圧力, squeezing, fullness or 苦痛.
  • 苦痛 or 不快 in one or both 武器, the 支援する, neck, jaw or stomach.
  • Shortness of breath, which might 含む breaking out in a 冷淡な sweat, or feelings of nausea or lightheadedness.

'For women, the symptoms may not be the same. It may not be the typical chest 苦痛' but rather 復部の 苦痛, nausea or unusual tiredness, said Dr. Annapoorna Kini, a cardiologist at 開始する Sinai Hospital in New York City.

What to do? 'Get 医療の help,' she said. 'It's better to worry after' about whether it was really a stomach problem rather than a heart attack.

Angioplasty also is done for 非，不，無-緊急 条件s, to 扱う／治療する chronic chest 苦痛 原因（となる）d by arteries that are clogged but not 厳しく 封鎖するd, and its use in that setting is more 疑わしい. Often 薬／医学s and other things can be tried first, and angioplasty can be 避けるd or 延期するd.

The 報告（する）／憶測 shows that より小数の people are getting these 手続きs inappropriately. In 2014, about one third of angioplasties were elective, for 非，不，無-緊急 状況／情勢s.

Just over half were みなすd to be done for 明確に appropriate 推論する／理由s and another one third were 分類するd 'may be appropriate' under 指導基準s from the cardiology college and others.?

About 14 パーセント were みなすd 'rarely appropriate' - いっそう少なく than other 研究 has 設立する in the past.

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