Category Archives: Patients

An Informed Patient is a Healthier Patient

Doctor and patientFindings in a report issued last week by the Blue Shield of California Foundation demonstrate that an informed patient is an empowered patient: one who feels more comfortable asking questions of one’s healthcare provider, and making decisions about one’s own healthcare.

While this equation may seem obvious, the report puts numbers to the equation, marking the significant differences between the informed and uninformed patient. Most importantly, the patient population studied consisted of low income families with annual household incomes less than 200% of the federal poverty level, or about $46,000 for a family of four. Continue reading

4 Comments

Filed under History, Patient Empowerment, Patient Experience, Patients, Shared Decision-Making

Patient Alert: Don’t Take NSAIDs After a Heart Attack

NSAID tabletsA study from Denmark of almost 100,000 patients over a 12-year period has concluded that:

The use of NSAIDs is associated with persistently increased coronary risk regardless of time elapsed after first-time MI. We advise long-term caution in using NSAIDs for patients after MI.

The study, published online before print in Circulation is titled, “Long-Term Cardiovascular Risk of NSAID Use According to Time Passed After First-Time Myocardial Infarction: A Nationwide Cohort Study.”  The researchers looked at the nationwide registries of hospitalization and drug dispensing from pharmacies in Denmark for the years 1997-2009 and calculated the incidence of death and heart attack associated with NSAID (Non-Steroidal Anti-Inflammatory Drug) use up to five years after a heart attack (in one-year increments). Continue reading

15 Comments

Filed under Heart Attack, Patient Alert, Patient Empowerment, Patients, Risk Factors

Cost Effectiveness of Wrist Angioplasty from Japan

Patient exchange in cath lab at Kihara Cardiovascular Hospital in Japan

Patient exchange in cath lab at Kihara Cardiovascular Hospital in Japan

Earlier today I reported on an important study, published online first in Circulation: Cardiovascular Quality and Outcomes. The study fed the results from 14 radial vs. femoral trials (RIVAL et al) into the cost-benefit analysis machine at Penn Medicine’s Center for Evidence-based Practice (CEP).

And the results? The transradial wrist approach to catheter-based procedures (angiograms, stents, etc.) was less expensive ($275 per procedure) and resulted in two-thirds less complications than the femoral/groin approach. Continue reading

Leave a Comment

Filed under Clinical Trials / Studies, Cost Effectiveness, Japan, Patient Experience, Video

Attention Stent Patients: Plavix Going Generic!

Plavix and StentOn May 17, less than two weeks from now, U.S. patent protection will end for Plavix (clopidogrel), the best-selling antiplatelet drug made by Bristol-Myers Squibb / Sanofi-Aventis. In 2010, worldwide sales of Plavix topped $6 billion (yes…billion!). For a typical stent patient, one 75mg tablet of Plavix a day costs more than $210 a month. Those with drug-eluting stents (80% or more of patients) must take Plavix for a year minimum. So the required medication actually can cost more than the stent itself. Continue reading

Leave a Comment

Filed under Antiplatelet Medications, Patient Experience

Myocardial Bridging: Heart Patients and Social Networking

Reyna Robles

Reyna Roble

Angioplasty.Org’s Heart Patient Forum contains 10,000 posts in 200 topics; it receives 50,000 page views a month, from Boston and Biloxi to Britain and Bangladesh. Patients share stories and questions about heart disease, stents, angioplasty, bypass surgery, allergic reactions, medications and the occasional “odd” topic — in this case “Myocardial Bridging.”

Well, not so odd to Reyna Robles, one of the many women who have posted to this topic, trying to find help, trying to find others in their situation, trying to find answers. Continue reading

9 Comments

Filed under Myocardial Bridging, Patient Experience, Social Networking

Remarkable Stent Procedure

AmbulanceAs I have written before, many, many times, our Patient Forum on Angioplasty.Org is filled with thousands of patients asking questions that were not sufficiently answered by their doctors, patients wanting to know more about their procedure, their disease, why they feel the way they do after the procedure, how much activity is “safe”, why they still have a pain in their leg, etc., etc., etc. Continue reading

Leave a Comment

Filed under Heart Attack, Patient Experience

Transradial Stent in New Jersey

Transradial Angioplasty PatientThis is a picture of a patient, Nancy Vitale, who just had a blockage in her very complex, calcified and tortuous right coronary artery opened up with angioplasty and a stent. She is getting up off the cath lab table and walking to recovery, where she’ll be sitting up in a chair. For those readers familiar with angioplasty, you may be wondering why she is not lying flat on her back for four hours or more. The answer is “it’s all in the wrist”. Continue reading

Leave a Comment

Filed under Patient Experience, Transradial Approach