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NIHR Signal Older people with acute coronary syndromes may benefit from routine invasive therapy
Routine invasive therapy for people aged over 75 with non-ST-elevation acute coronary syndromes reduced the risk of dying, having a heart attack or stroke, and need for further intervention. However, there was a higher risk of major bleeding compared to treating people with medication. This is the largest review to date to gather the evidence on treatments for older people with smaller heart attacks or severe angina (chest pain). NICE recommend treating these “non-ST-elevation acute coron...
NIHR Signal Telehealth may help some people be more active after a heart attack
A variety of “telehealth” approaches may be worth considering for encouraging physical activity after a heart attack or heart surgery, suggests a review of published research. Cardiac rehabilitation and exercise programmes are well known to be effective in improving survival following a heart attack. Typical cardiac rehabilitation programmes offer exercise classes, education about heart disease and healthier lifestyle, and approaches to reduce stress. Although rehabilitation is usua...
NIHR Signal No benefit from therapeutic cooling after a major heart attack
There is no evidence at present that therapeutic cooling after a major heart attack could prevent death or future heart attacks. Therapeutic cooling, also called therapeutic hypothermia, or targeted temperature management, involves artificially reducing the body temperature by a few degrees, here to under 35˚C. This approach is recommended in NICE guidance to help protect brain function after cardiac arrest, but not for heart attack. Recent treatments involving stents or clot busting drugs have...
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