REPORT

“RISK OF DYING INCREASES WITH IN-HOSPITAL HEART ATTACKS”

TEASE RUNS: 05(people walking outside, inside hospital hallways)

Is survival better for those having a heart attack outside or inside the hospital? That’s next.

JAMA 3957

TRT: 1:57

Sunday, November16, 2014

INTRO: When someone experiences a heart attack in the community and arrives at the hospital there are well organized practices to help re-open blocked arteries. But what happens when a patient has a heart attack while hospitalized for unrelated health problem? A new study examined whether those patients also receive quick and efficient care for their heart attack. Catherine Dolf explains in this week’s JAMA Report.

VIDEO

/ AUDIO
B-ROLL
David walking outside, standing at reception desk / MORE THAN A YEAR AGO, DAVID COLLINS WAS IN THE HOSPITAL RECEIVING HIS LAST TREATMENT FOR KIDNEY CANCER, WHEN HE HAD A HEART ATTACK.
SOT/FULL
David Collins - Heart Patient
Super @:07
Runs:05 / “It didn’t really make any sense to me to start with why was I having a heart attack and I was in the hospital.”
B-ROLL
Dr. Yeung pointing to computer screen, David looking, Dr. Yeung pointing out blockage / HIS PHYSICIAN, DR. MICHAEL YEUNG (Young), SHOWS DAVID THE TYPE OF BLOCKAGES THAT WERE FOUND IN HIS HEART.
NATSO/FULL
Runs:02 / “…right there, you see that blockage...”
SOT/FULL
Prashant Kaul, M.D., - University of North Carolina, Chapel Hill
Super@:19
Runs:09 / “If there is a complete blockage and there is no blood getting to that part of the heart that is an ST-elevation myocardial infarction or heart attack.”
B-ROLL
Freeze of heart on computer with STEMI dissolving across screen / ALSO KNOWN AS “STEMI” (STEM-E).
SOT/FULL
George A.Stouffer, M.D., - University North Carolina, Chapel Hill
Super@:30
Runs:05 / “Inpatient STEMI’s, occur at a higher rate than we have previously thought.”
B-ROLL
Dr. Stouffer and Dr. Kaul walking down hospital hallway going into cath lab, both doctors inside cath lab, people outside walking on the street / DOCTORS GEORGE STOUFFER AND PRASHANT KAUL (Call) ALONG WITH THEIR COLLEAGUES AT THE UNIVERSITY OF NORTH CAROLINA EXAMINED DATA FROM PATIENTS WHO EXPERIENCED STEMI’S AT 303 CALIFORNIA HOSPITALS DURING A FOUR YEAR PERIOD. ABOUT 95 PERCENT OF PATIENTS HAD THEIR HEART ATTACK OUTSIDE THE HOSPITAL. 5 PERCENT HAD A HEART ATTACK WHILE HOSPITALIZED FOR A NON-HEART RELATED PROBLEM.
SOT/FULL
Prashant Kaul, M.D., - University of North Carolina, Chapel Hill
Super@:57
Runs:10
(Video covering 1st part of bite: people walking outside) / “For patients who have a heart attack outside of the hospital there’s a very well organized and finally tuned protocol now for taking care of patients like this.”
B-ROLL
Medication into a syringe, two stents on table / THAT INCLUDES USING MEDICATIONS AND A BALLOON OR STENT TO OPEN THE BLOCKED ARTERY.
SOT/FULL
George A.Stouffer, M.D., - University North Carolina, Chapel Hill
Super@1:10
Runs:10
(Video covering middle of bite:patients receiving an angiogram) / “Patients who have inpatient STEMI’s are unlikely to receive interventional treatment. They received interventional therapy or balloon angioplasty only 20 percent of the time.”
GXF FULL
JAMA COVER / THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.
SOT/FULL
Prashant Kaul, M.D., - University of North Carolina
Super@1:23
Runs:08
(Video covering 2nd half of bite: patient on gurney) / “They are generally older patients, they’re sicker patients, they were less likely to go home and they were more than three times likely to die.”
SOT/FULL
George A.Stouffer, M.D., - University North Carolina
Super@1:31
Runs:10
(Video covering 2nd half of bite: doctors in cath lab) / “We need to look at those systems for patients who have a heart attack in the hospital and take those patients who will truly benefit from treatment and get them treated in a rapid manner.”
B-ROLL
David and his wife walking / DAVID, A BUSY FARMER, IS NOW BACK ON THE JOB, FEELING MUCH BETTER AND THANKFUL.
SOT/FULL
David Collins - Heart Patient
Super @1:46
Runs:10
(Video covering 2nd half of bite: sitting on bench with his wife talking) / “I’m glad that it happened the way it did because I had some blockages in other places now that I’ve got that fixed I just feel better physically than I’ve felt in a long time.”
B-ROLL
David and wife sitting on bench / CATHERINE DOLF, THE JAMA REPORT.

TAG:STUDY AUTHORS SAY THOSE EXPERIENCING A HEART ATTACK IN THE HOSPITAL WERE ALSO MORE LIKELY TO BE WOMEN.

Please see the complete study for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

TO CONTACT: Dr. George Stoufferand Dr. Prashant Kaul call: Tom Hughesat(984) 974-1151

doi.10.1001/jama.2014.15236

ADDITIONAL SOUNDBITES:

George A. Stouffer, M.D., - University North Carolina

QUOTE 1 Runs:10

“We have to examine the characteristics differently than we do for patients who come from outside the hospital but it also tells us that we potentially can make improvements in the process of care.”

Prashant Kaul, M.D., - University of North Carolina

QUOTE 2 Runs:17

“In the setting of a heart attack the intervention that we’re discussing here is primary PCI or primary percutaneous coronary intervention and the goal of this therapy is to restore blood flow as quickly and as safely as possible down the blocked artery.

1