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Clinical Indicators

Heart Attack (AMI)

A heart attack (acute myocardial infarction or AMI) is a life-threatening emergency. It occurs when an artery to the heart (a coronary artery) becomes blocked. Certain interventions and treatments have been demonstrated to improve patient outcomes and decrease mortality.

Indicators

Aspirin administered within 24 hours – Since early administration of aspirin for heart attack patients greatly reduces complications and mortality, national guidelines recommend aspirin within 24 hours for those patients who are able to take the drug.


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Aspirin prescribed at discharge – Taking an aspirin daily after a heart attack reduces complications and mortality. For patients who are able to take aspirin, national guidelines recommend long-term aspirin therapy to help prevent further heart attacks.


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ACEI or ARB prescribed at discharge – National guidelines for the treatment of AMI patients who have moderate to severe dysfunction of the left ventricle include prescribing an angiotensin converting enzyme inhibitor (ACEI) or an angiotensin receptor blocker (ARB) to reduce complications and mortality. Some patients, however, may not be able to take these drugs due to allergies or other medical reasons.


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Counseling for adult smokersQuitting smoking reduces complications and mortality for heart attack patients. We urge all patients who smoke to quit.


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Beta blockers prescribed upon arrival – Beta blockers are a class of drugs that lowers blood pressure and improves the ability of the heart to pump. Beta blockers also help prevent the heart from beating irregularly due to the effects of the heart attack. Some patients, however, may not be able to take these drugs


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Beta blockers prescribed at discharge – Long-term use of beta blockers helps prevent another heart attack or other complications. Some patients, however, may not be able to take these drugs.


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