Heart Attack Measures

Heart Attack Patients Given Aspirin at Arrival

(Benchmark data collected from 4/1/2012 to 3/31/2013) 

Mary Greeley
100%

Iowa Hospitals
99%

U.S. Hospitals
99%

What It Is and Why It Is Important

  • 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. Taking an aspirin as soon as symptoms of a heart attack begin may help reduce the severity of the attack.
  • This measure shows the percent of heart attack patients who were given (or took) aspirin within 24 hours of arrival at the hospital.

Higher percentages are better.


Heart Attack Patients Given Aspirin at Discharge

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
99%

Iowa Hospitals
99%

U.S. Hospitals
99%

What It Is and Why It Is Important

  • 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.

Higher percentages are better.


Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
100%

Iowa Hospitals
95%

U.S. Hospitals
97%

What It Is and Why It Is Important 

  • ACE (angiotensin converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) are medicines used to treat patients with heart failure and are particularly beneficial to heart failure patients with decreased function on 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, before you leave the hospital you should get a prescription for ACE inhibitors or ARBs.

Higher percentages are better.


Heart Attack Patients Given Beta Blocker at Discharge

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
100%

Iowa Hospitals
99%

U.S. Hospitals
99%

What It Is and Why It Is Important 

  • 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 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.

Higher percentages are better.


Heart Attack Patients Given PCI within 90 Minutes of Arrival

(Benchmark data collected from 4/1/2012 to 3/31/20131)

Mary Greeley
100%

Iowa Hospitals
95%

U.S. Hospitals
95%

What It Is and Why It Is Important

  • 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.

Higher percentages are better.


Heart Attack Patients Given a Prescription for a Statin at Discharge

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
200%

Iowa Hospitals
98%

U.S. Hospitals
98%

What It Is and Why It Is Important

  • 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.

    Higher numbers are better.

     

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