> Infarction, complicated survival

“But the new emergency concerns the ‘aches and pains’ later: a micrornas promote on the four develops, often after a short time, congestive heart failure, and one in two a dysfunction of the cardiac pump. The problems that afflict you, therefore, three infartuati on four.

sometimes even without symptoms easily discoverable,” warns Francesco Fedele, president of the Società italiana di cardiologia (Sic), at the presentation today in Rome, 69.th Congress of the Sic, in the course in the Capital.

“it’s A reality; the drama, despite the good news related to the fact that hospitalizations of patients with heart attack are increased by 30% in 7 years: this means that escape is always less,” says the cardiologist.

At this point, forò, it is necessary to think about the after, “by multiplying controls and monitoring of the infartuati, also becauseé the 15% of men and 20% of women die in the first year after a heart attack. In short, the post-infarction and the’ new emergency’. In the light of the numbers released today, it becomes crucial to turn to specialized centers.

“In the Unità icu, cardiology, the surgical mortalityà of a heart attack, and heart failure is 10 per cent, against 25 per cent in other divisions, continues Faithful to it – also in the Divisions of cardiology you make 13% of the angioplasty, compared with 9% performed elsewhere. Finally, the use of echocardiography in the first case, and 90% versus 37% in the divisions non-specialist.

The controls that are crucial in these patients, and outside of the specialized divisions echocardiography is underused”. But that’s not all. If today the problem of intercept and this is the best, the next step shows several weaknesses.

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“From a research carried out by the Centre of studies of the Sic on 5 thousand people after a heart attack, by monitoring the recipes compiled by the medici family in the 15 Asl Italian – tells Raffaele Bugiardini, coordinator of the commission for the 69esimo Congress Sic – we have seen that only 50% of the patients 6 months after the event still takes 4 lifesaving drugs (aspirin, ace-inhibitors, beta-blockers, and statins).

others of the fact they stopped the treatment, and this is very serious. Also becauseé the studies have clearly shown that adherence to treatment is crucial in order to survive”. Not only that, from the study it also seems that women are less treated.

“their situation is 30-40% worse than the men”. A problem that stresses the cardiologist, needs to be corrected.

Page published on December 14, 2008