Revista española de cardiología (English ed.)
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Rev Esp Cardiol (Engl Ed) · Dec 2013
Comparative StudyIn-hospital mortality due to acute myocardial infarction. relevance of type of hospital and care provided. RECALCAR study.
To investigate the relationship between in-hospital mortality due to acute myocardial infarction and type of hospital, discharge service, and treatment provided. ⋯ The typology of the hospital, treatment in a cardiology unit, and percutaneous coronary intervention are significantly associated with the survival of a patient hospitalized for myocardial infarction. We recommend that the Spanish National Health Service establish health care networks that favor percutaneous coronary intervention and the participation of cardiology units in the management of patients with acute myocardial infarction.
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Rev Esp Cardiol (Engl Ed) · Dec 2013
Observational StudyEffectiveness and safety of remote monitoring of patients with an implantable loop recorder.
Implantable loop recorders have proven efficacy in the study of patients with syncope and palpitations. Remote monitoring of patients with pacemakers and implantable cardioverter-defibrillators has been shown to be safe and effective. The purpose of this study was to analyze the safety and effectiveness of remote monitoring in patients with an implantable loop recorder. ⋯ Remote monitoring of patients with an implantable loop recorder can significantly shorten the time to diagnosis and targeted treatment, without adversely affecting patient safety.
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Rev Esp Cardiol (Engl Ed) · Nov 2013
Comparative StudyRadial vs femoral access after percutaneous coronary intervention for ST-segment elevation myocardial infarction. Thirty-day and one-year mortality results.
Little attention has been given to the effect of vascular access site on mortality, while an increasing body of evidence is showing that radial access has much more benefit than femoral access for ST-segment elevation myocardial infarction patients. We aimed to assess the influence of vascular access site on mortality at 30 days and at 1 year in ST-segment elevation myocardial infarction patients. ⋯ Vascular access site should be taken into account when predicting mortality after a primary percutaneous coronary intervention.
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Rev Esp Cardiol (Engl Ed) · Oct 2013
Comparative StudySocioeconomic status and health inequalities for cardiovascular prevention among elderly Spaniards.
Although it is known that social factors may introduce inequalities in cardiovascular health, data on the role of socioeconomic differences in the prescription of preventive treatment are scarce. We aimed to assess the relationship between the socioeconomic status of an elderly population at high cardiovascular risk and inequalities in receiving primary cardiovascular treatment, within the context of a universal health care system. ⋯ In our analysis, socioeconomic differences did not affect the treatment prescribed for primary cardiovascular prevention in elderly patients in Spain. Free, universal health care based on a primary care model can be effective in reducing health inequalities related to socioeconomic status.