The Catharina Heart and Vascular Center has started a major study within the Dutch Heart Network partnership into patients who have an acute heart attack, but who do not show a clear picture in the ambulance on the EKG, the heart film. “As a result, it takes longer before the correct diagnosis is made and they can receive the right care in the right place. That has to be improved, because there is a huge health benefit to be achieved here,” explains cardiologist Dr Pieter-Jan Vlaar of the Catharina Hospital. In this region alone, several thousand patients per year are seen by the ambulance service under suspicion of a so-called ‘silent’ infarction and are taken to any hospital in the region.
A risk score has been developed that, in addition to the heart film, goes through a number of risk factors. A rapid test is also used to check whether signal substances are present in the blood that may indicate a heart attack. Vlaar explains: “The risk score should contribute to earlier recognition and treatment. If the heart film shows an unclear picture, but the patient shows all the signs and symptoms of a heart attack, this risk score can help to provide more clarity about this in the ambulance”.
A heart attack or myocardial infarction is also called a heart attack. When you have a heart attack, part of the heart muscle dies due to lack of oxygen. A heart attack occurs when one or more of the coronary arteries is partially blocked. In order to recognize an acute heart attack even faster, the hospital has started an investigation together with the Dutch Heart Network Southeast Brabant, a partnership between the hospitals (Elkerliek, St Anna Hospital, Máxima MC and Catharina Hospital), general practitioners and the ambulance service to patients undergoing a so-called ‘silent’ infarction.
Vlaar hopes that by entering the risk score, the patient will receive the right care in the right place faster. “Quickly recognize, act and treat. The sooner we catch it, the less damage the heart suffers. Every second counts when someone has a heart attack,” emphasizes Vlaar. The risk score will be investigated throughout the region. Collaboration is the keyword. Vlaar: “We conduct the research within the Netherlands Heart Network. This means that all partners deal with the risk score in the same way. Only by working together can you improve patient care.” He continues: “You are working together in the background to optimize processes, which ultimately improves patient care. Collaboration between professionals from the first, second and third line is indispensable in order to do this. You need each other.”
The research is being carried out within the subsidy of 3 million euros that the Catharina Cardiovascular Center has received from ZonMW. With this 3 million euros, the center can further strengthen its role as a frontrunner in the development and implementation of medical innovations. The grant will be used to conduct research into technological innovations and decision support based on artificial intelligence. Particularly in the areas of prevention, improved outcomes and cost control in three common heart conditions: occluded coronary arteries, narrowed aortic valve and atrial fibrillation. In this way, specialists arrive at the best approach for each individual patient.
Research needs early recognition and treatment of a ‘silent’ heart attack
Source link Research needs early recognition and treatment of a ‘silent’ heart attack