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Heart Attack Care (AMI)

Data represents a rolling year October 1, 2012 through September 30, 2013

Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital

  • If a hospital does not have the facilities to provide specialized heart attack care, it transfers patients with possible heart attack to another hospital that can give them this care.
  • This measure shows how long it takes, on average, for hospitals to identify patients who need specialized heart attack care the hospital cannot provide and begin their transfer to another hospital.
  • It shows the average (mean) number of minutes it takes from the time patients arrive in the Emergency Department until they are transported to a different hospital.
Raleigh Campus - n/a
Cary Hospital - 44 min.
All Hospitals - 60 min.
     Lower numbers are better.

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

  • “ECG” (sometimes called EKG) stands for electrocardiogram. An ECG is a test that can help doctors know whether patients are having a heart attack.
  • Standards of care say that patients with chest pain or a possible heart attack should have an ECG upon arrival, preferably within 10 minutes.
  • This measure tells the average (median) number of minutes it takes before patients got an ECG.
  • Sometimes patients get an ECG done before they get to the hospital (for example, by the ambulance staff). This is counted as “0 minutes.”
Raleigh Campus - 6 min.
Cary Hospital - 5 min.
All Hospitals - 7 min.
     Lower numbers are better.

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

  • Blood clots can cause heart attacks. Certain patients having a heart attack should get a “clot busting” drug to help break up the blood clots and improve blood flow to the heart.
  • Standards for care say that a clot busting drug should be given within 30 minutes of arrival at the hospital.
  • This measure tells the percent of patients who got a clot busting drug within 30 minutes of arrival.
Raleigh Campus - n/a
Cary Hospital - n/a
All Hospitals - 58%
     Higher percentages are better.

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

  • Blood clots can cause heart attacks. For many patients having a heart attack, taking aspirin soon after symptoms of a heart attack begin may help break up a clot and make the heart attack less severe. If patients have not taken aspirin themselves before going to the hospital, they should get aspirin when they arrive.
  • Standards for care say patients should get aspirin within 24 hours of arrival at the hospital. This measure tells what percent of patients got aspirin within this time period.
Raleigh Campus - 98%
Cary Hospital - 100%
All Hospitals - 96%
     Higher percentages are better.

Heart attack patients given fibrinolytic medication within 30 minutes of arrival

  • 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.
  • Fibrinolytic drugs are medicines that can help dissolve blood clots in blood vessels and improve blood flow to your heart. You should get them within 30 minutes of arrival at the hospital.
Raleigh Campus - n/a
Cary Hospital - n/a
All Hospitals - 54%
     Higher percentages are better.

Heart attack patients given PCI within 90 minutes of arrival

  • The heart is a muscle that gets oxygen through blood vessels. Sometimes blood clots can block these blood vessels, and the heart cannot get enough oxygen. This can cause a heart attack.
  • Percutaneous Coronary 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 to hold it open.
    • Atherectomy - a blade or laser cuts through and removes the blockage.
Raleigh Campus - 98%
Cary Hospital - n/a
All Hospitals - 96%
     Higher percentages are better.

Heart attack patients given aspirin at discharge

  • 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 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.
Raleigh Campus - 100%
Cary Hospital - 100%
All Hospitals - 99%
     Higher percentages are better.

Heart attack patients given a prescription for a statin at discharge

  • 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 other problems. For patients who have had one or more heart attacks 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.
  • 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.

Raleigh Campus - 99%
Cary Hospital - 100%
All Hospitals - 98%
     Higher percentages are better.