Watch AF-MI patients closely
Watch AF-MI patients closely
Patients with atrial fibrillation and acute myocardial infarction have an increased risk of stroke and 30-day mortality, say Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries (GUSTO-I) trial researchers at Duke Clinical Research Institute in Durham, NC. Patients with hemodynamic compromise have a hospital course typically complicated by three-vessel coronary artery disease. The recommend aggressive treatment strategies in this subgroup of patients, including anticoagulation and cardioversion.
Reference
1. Crenshaw BS, Ward SR, Granger CB, et al. Atrial fibrillation in the setting of acute myocardial infarction: The GUSTO-I experience. J Am Coll Cardiol 1997; 30:406-413.
• Phil Rogers, RN, CCRN, case manager, cardiovascular surgery, Owen Heart Center, Mission Hospital, Asheville, NC. Telephone: (704) 259-3589. Internet: http://www.msjhs.org
• Mark A. Groh, MD, cardiac surgeon, Memorial Mission Hospital, Asheville, NC. Telephone: (704) 258-1121.
• Janis W. Richmond, RN, Washington Adventist Hospital, Takoma Park, MD. Telephone: (301) 891-5313.
• Robert Luttman, principal, Robert Luttman and Associates, Medfield, MA. Telephone: (617) 327-6253.
• Michelle Pelling, MBA, RN, president, PROPELL, Portland, OR. Telephone: (503) 641-1987.
• Joe Doescher, BS, CCP, perfusionist, St. Francis Hospital and Health Centers, Beech Grove, IN 46107. Telephone: (317) 783-8876.
• Pamela Lipe, RN, CNOR, director, surgical services, Eliza Coffee Memorial Hospital, Florence, AL 35631. Telephone: (205) 767-9213.
• Madeline Massengale, director, industry relations, Perfusion Services, Baxter Healthcare Corp., San Diego, CA 92127. Telephone: (800) 348-4565.
• Sharon Baschon, RN, The Baschon Group, Durham, NC. Telephone: (919) 383-1108.
Subscribe Now for Access
You have reached your article limit for the month. We hope you found our articles both enjoyable and insightful. For information on new subscriptions, product trials, alternative billing arrangements or group and site discounts please call 800-688-2421. We look forward to having you as a long-term member of the Relias Media community.