Preventative angioplasty could save thousands of lives

Preventive angioplasty in heart attack patients cuts the risk of death and other serious complications, according to research by cardiologists.

The 'PRAMI study' involved 465 patients recruited between 2008 and 2013 and was conducted at specialist heart centres across the UK, including the London Chest, Norfolk and Norwich, Newcastle and Glasgow's Golden Jubilee.

It concluded that who had – thin cylindrical tubes – placed in their other narrowed arteries at the same time as the one that triggered the heart attack were 64 per cent less likely to die, suffer another serious heart attack or have severe angina over the subsequent two years. There are around 103,000 heart attacks in the UK each year, according to the British Heart Foundation.

Professor Colin Berry, a co-author of the study from the University of Glasgow, said: "Currently, following a heart attack, patients undergo an emergency operation called an . During this procedure, a stent is inserted into the blocked artery to restore normal blood function. However, around half of patients also have significant narrowing in other arteries which could cause another heart attack in the future.

"Historical guidelines recommend that only the artery which caused the heart attack should be treated, but our research shows improved outcomes for patients when all narrowed arteries are treated simultaneously."

Senior author, Professor Keith Oldroyd, based at the Golden Jubilee National Hospital, said: "The PRAMI trial shows very clearly that patients have a much better outcome if other narrowed are stented at the same time as the one that triggered the attack. This strategy is also much more cost effective for the Health Service."

The Golden Jubilee is one of the UK's leading ' centres' with a concentration of resources, skills and expertise within the centre has enabled this state of the art national hospital to lead the way in research, development and academic activity which ensures innovation and improvements in patient care.

The research was published recently in the New England Journal of Medicine.

More information: www.nejm.org/doi/full/10.1056/NEJMoa1305520

add to favorites email to friend print save as pdf

Related Stories

Chest pain duration can signal heart attack

Sep 11, 2013

Patients with longer-lasting chest pain are more likely having a heart attack than those with pain of a shorter duration, according to a study by researchers at Henry Ford Hospital.

Recommended for you

Exercise may protect older women from irregular heartbeat

8 hours ago

Increasing the amount or intensity of physical activity can cut the chances of older women developing a life-threatening irregular heartbeat, according to new research in the Journal of the American Heart Association (JAHA).

Huge discrepancies on heart disease in Europe

20 hours ago

Russians and Ukrainians aged 55 to 59 die from coronary heart disease at a higher rate than Frenchmen who are 20 years older, a study released Wednesday of Europe's cardiovascular health showed.

Common antibiotic linked with heart deaths

Aug 19, 2014

The antibiotic clarithromycin—widely used for treating common bacterial infections—is associated with an increased risk of heart deaths, finds a study published in the BMJ today.

User comments