Acute Myocardial Infarction
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An Acute Myocardial Infarction is also known as a heart attack. This occurs when the heart muscle changes because of poor circulation of blood flow. Some symptoms include sudden chest pain, difficulty breathing, stress, and physical exertion.

Here's some information on what causes a heart attack?

Sinai-Grace Hospital Quality Scorecard for Acute Myocardial Infarction

Percent Meeting - Of all patients eligible for receiving this treatment the number out of 100 that actually did receive.

Beta Blocker - A beta blocker, is a type of medicine used to lower blood pressure, treat chest pain and help to prevent further heart attacks. It reduces the stress on your heart by slowing the heart rate and reducing the strength of the heart muscle contracting. Continuing the beta blocker treatment is important after the patient is discharged so that it will reduce further heart problems.

Smoking cessation - Smoking is harmful to you because it does damage to your lungs, heart, and blood vessels. It is a risk to you because fat and plaque stick to the arteries' walls so blood cannot travel through them easily. This leads to an increase risk of blood clotting, a higher heart rate, and high blood pressure. If you stop smoking, it will help to decrease the chance of heart attack and stroke in many patients.

Left ventricular function (LVF) assessment - This test checks the main pumping valve to the heart (left ventricle) and gets an assessment of the heart muscle function. People with a low result are often treated with medications to improve the pumping.

ACEI or ARB prescribed - If left ventricular ejection fraction (LVEF) is less than 40% if the LVEF assessment shows that the heart is weak, it indicates heart failure is present. Angiotensin Converting Enzyme (ACEI) and Angiotensin Reception Blocker (ARB) treatments are medicines that are used to treat patients that have heart failure and benefit those who have problems in the left side of the heart. These medicines help improve the heart muscle’s pumping action. Examples of medications for ACEI include: lisinopril, Zestril®, Prinivil®, and vasotec. Examples of medications for ARB include: Cozaar®, Avapro®, Atacand®, and Mycardis®.

Receiving aspirin within 24 hours of arrival and prescribed at discharge - Aspirin can prevent clotting of blood by “thinning the blood”, restore blood flow to your heart and can improve the chances that you can survive a heart attack. Aspirin should not be taken if you are allergic or at risk for bleeding. Talk to your health care provider about using aspirin to make sure that it a safe option for you.

Timing of PCI - Percutaneous Coronary Intervention (PCI) within 90 minutes of arrival - Time is muscle. At the first sign of a heart attack, it is important for you to go immediately to the Emergency Department so that PCI can be done if needed. After a heart attack, there can be a lack of blood supply that flows through the heart muscle which can cause serious damage. PCI is a procedure which will open up any blocked arteries. The sooner blocked arteries are opened, the better chance for survival and less damage to your heart muscle. There are three procedures commonly known as PCI and they each involve a catheter (flexible tube) inserted through your leg. The three procedures are: 

Angioplasty and Stenting - a small tube is placed in a blood vessel and a balloon is threaded into the vessel and then inflates to open it up.

Atherectomy - a blade cuts through to remove the blockage by removing plaque buildup from the arteries.