Myocardial Infarction: How times have changed.

Beta blockers after myocardial infarction: have trials changed practice?

A survey of British consultant cardiologists was carried out to elicit their current practices when prescribing long term beta blockers after myocardial infarction. Sixty (72%) of the respondents reported that they used beta blockers prophylactically even in the absence of any other indications; the details of their stated policies, however, varied considerably. The favourable evidence of clini...

How times have changed: HIV and AIDS in South Africa in 2011.

Utilisation of coronary angiography after acute myocardial infarction in Ontario over time: have referral patterns changed?

OBJECTIVE To examine how physicians in Ontario, Canada, have altered their referral patterns for coronary angiography after acute myocardial infarction (AMI) over time. DESIGN Retrospective analysis of multilinked administrative data. SETTING Province of Ontario, Canada. PATIENTS 146 365 Ontario AMI patients hospitalised between 1 April 1992 and 31 March 1999. MAIN OUTCOME MEASURES Util...

[Has the prognosis of cardiogenic shock post myocardial infarction changed?].

Rev Esp Cardiol 2002;55(11):1111-3 1111 In the last two decades, the treatment of myocardial infarction has advanced constantly. Improved understanding of the pathophysiology of acute coronary syndromes, the development of novel drugs, and the application of new myocardial revascularization strategies have made it possible to progressively reduce the mortality of myocardial infarction in patien...

The patient-center medical home and managed care: times have changed, some components have not.

I am a full supporter of the patient-centered medical home as an organizational model for practice, and I am hopeful this model will provide an enduring change for better primary care. I have seen evidence that some physicians enjoy this new model but are also describing rather easily the flaws of “managed care” from the last generation of systemic payment model changes in US health care. I thi...