Heart Attack (AMI)


St. Tammany Parish Hospital is an Accredited Chest Pain Center. Getting to the nearest accredited chest pain center when you think you may be having a heart attack could save your life.

An AMI (acute myocardial infarction) occurs when arteries supplying the heart become blocked and the heart cannot receive enough oxygen. The Joint Commission and U.S. Department of Health & Human Services agree on specific measures performed by your hospital which can improve the outcomes of a person suffering from a heart attack. Your hospital and/or physician will determine which treatments and medications are appropriate to improve your outcome.

 


Measure: Primary PCI Received Within 90 Minutes of Hospital Arrival
(Acute myocardial infarction (AMI) patients receiving percutaneous coronary intervention (PCI) during the hospital stay with a time from hospital arrival to PCI of 90 minutes or less)
PCI is a procedure for opening blocked blood vessels and restoring blood flow to the heart muscle. The earlier PCI is performed, the more effective it is. Hospitals capable of providing this treatment strive to perform it within 90 minutes of arrival for acute heart attack patient with specific heart beat rhythms.



Measure: Aspirin on Arrival
(Percent of heart attack patients given aspirin within 24 hours of hospital arrival)
Aspirin has been shown to reduce the occurrence of blood clots and dissolve those that have formed, potentially reducing the severity of a heart attack. Clinical best practice recommends the administration of aspirin within 24 hours of hospital arrival for a heart attack. The early use of aspirin in patients with a heart attack lowers the likelihood of complications and death.



Measure: Aspirin Prescribed at Discharge
(Percent of heart attack patients prescribed aspirin at discharge)
Taking aspirin has been shown to reduce the risk of further cardiovascular events in patients who have experienced a heart attack.



Measure: ACE Inhibitor or ARB for LVSD
(Percent of heart attack patients given ACE inhibitor or ARB for LVSD)
Certain blood pressure medications known as ACE Inhibitors or ARBs may be used to treat a variety of cardiovascular conditions including heart attack and heart failure, particularly in patients with decreased left-sided heart function. Early treatment with these drugs may reduce the risk of death from future heart attacks.

  • ACE (angiotensin converting enzyme)
  • ARB (angiotensin receptor blocker)
  • LVSD (left ventricular systolic dysfunction) 


Measure: Beta Blocker Prescribed at Discharge
(Percent of heart attack patients prescribed beta blocker at discharge)
Beta blockers are medications used to treat high blood pressure, heart failure and other cardiovascular diseases. They can reduce risk of death and illness in patients who have already experienced a heart attack. Clinical practice guidelines recommend beta blocker therapy for the prevention of subsequent cardiovascular events.



Measure: Smoking Cessation Advice/Counseling
(Percent of heart attack patients given smoking cessation counseling)
Smoking increases the risk of heart disease, which may increase incidence of heart attack, heart failure, and stroke. Stopping smoking reduces mortality and morbidity for patients who have already experienced a heart attack. Patients who receive smoking-cessation advice from their care providers are more likely to quit.