Heart Attack Care (AMI)
Heart Attack Patients Given Aspirin at Arrival
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The heart is a muscle that gets oxygen through blood vessels. Sometimes blood clots can block these blood vessels, and the heart can't get enough oxygen. This can cause a heart attack. Chewing an aspirin as
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Raleigh Campus - 99.8%
Cary Hospital - 99.9%
Top 10% of All Hospitals - 100%
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| soon as symptoms of a heart attack begin may help reduce the severity of the attack. |
Heart Attack Patients Given Aspirin at Discharge
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Blood clots can block blood vessels. Aspirin can help prevent blood clots from forming or help dissolve blood clots that have formed. Following a heart attack, continued use of aspirin may help reduce the risk of another
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Raleigh Campus - 99.5%
Cary Hospital - 99.9%
Top 10% of All Hospitals - 100%
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| heart attack. Aspirin can have side effects like stomach inflammation, bleeding, or allergic reactions. |
Talk to your health care provider before using aspirin on a regular basis to make sure it's safe for you.
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
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ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat patients with heart failure and are particularly beneficial in those patients with heart failure and
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Raleigh Campus - 98.7%
Cary Hospital - 99.6%
Top 10% of All Hospitals - 100%
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| decreased function of the left side of the heart. Early treatment with ACE inhibitors and ARBs in patients who have heart failure symptoms or decreased heart function after a heart attack can also reduce their risk of death from future heart attacks. |
ACE inhibitors and ARBs work by limiting the effects of a hormone that narrows blood vessels, and may thus lower blood pressure and reduce the work the heart has to perform. Since the ways in which these two kinds of drugs work are different, your doctor will decide which drug is most appropriate for you. If you have a heart attack and/or heart failure, you should get a prescription for ACE inhibitors or ARBs if you have decreased heart function before you leave the hospital.
Heart Attack Patients Given Beta Blocker at Discharge
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Beta blockers are a type of medicine that is used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent a heart attack. Beta blockers relieve the stress on your heart by slowing the heart rate
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Raleigh Campus - 99.4%
Cary Hospital - 99.9%
Top 10% of All Hospitals - 100%
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| and reducing the force with which your heart muscles contract to pump blood. |
They also help keep blood vessels from constricting in your heart, brain, and body. If you have a heart attack, you should get a prescription for a beta blocker before you leave the hospital.
Heart Attack Patients Given PCI within 90 Minutes of Arrival
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The heart is a muscle that gets oxygen through blood vessels. Sometimes blood clots can block these blood vessels, and the heart can't get enough oxygen. This can cause a heart attack. Percutaneous Coronary
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Raleigh Campus - 98.8%
Cary Hospital - N/A
Top 10% of All Hospitals - 100%
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| Interventions (PCI) are procedures that are among the most effective ways to open blocked blood vessels and help prevent further heart muscle damage. |
A PCI is performed by a doctor to open the blockage and increase blood flow in blocked blood vessels. Improving blood flow to your heart as quickly as possible lessens the damage to your heart muscle. It also can increase your chances of surviving a heart attack. There are three procedures commonly described by the term PCI. These procedures all involve a catheter (a flexible tube) that is inserted, often through your leg, and guided through the blood vessels to the blockage.
The three procedures are:
- Angioplasty - a balloon is inflated to open the blood vessel.
- Stenting - a small wire tube called a stent is placed in the blood vessel to hold it open.
- Atherectomy - a blade or laser cuts through and removes the blockage.
Percent of Patients Prescribed a Statin at Discharge
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Statins are drugs used to lower cholesterol. Cholesterol is a fat (also called a lipid) that your body needs to work properly. Cholesterol levels that are too high can increase your chance of getting heart disease, stroke, and
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Raleigh Campus - 99.2%
Cary Hospital - 99.7%
Top 10% of All Hospitals - 100%
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| other problems. For patients who had a heart attack and have high cholesterol, taking statins can lower the chance that they'll have another heart attack or die. |
This measure shows the percent of patients who had a heart attack who got a prescription for a statin before discharge from the hospital. Patients who shouldn't take statins aren't included in this measure.
Data represents a rolling year October 1, 2011 through September 30, 2012
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