News tips for Monday, Nov...( hest surgery while 10 underwent a beati...),Health

hest surgery while 10 underwent a beating-heart bypass. Clinical results were similar in both groups, with all patients asymptomatic at 10 weeks except one who required additional angioplasty. There were no device-related complications and blood vessel function was similar in the two groups. Coronary vessel hookups with robotic assistance took longer than in conventional surgery.

2 p.m. Abstract #3333 Reversing sudden cardiac death in health clubs: shocking success. A new study finds automated external defibrillators (AEDs) are being put to good use in a large chain of 76 health clubs. In a 12-month surveillance after instituting emergency preparedness procedures according to American Heart Association guidelines, eight (five men, three women) of the 48,560 adult members experienced sudden cardiac death (SCD) while exercising. Only one of them had known heart problems. In each case trained staff used an AED plus CPR before paramedics arrived. SCD was reversed at the health club in six of the eight victims, and four of the eight survived hospital discharge neurologically intact. While their data suggest that SCD in such settings is extremely rare, researchers say they've also shown that "the likelihood of surviving a cardiac arrest in facilities with an AED program is considerably higher than the success rate reported for most out-of-hospital witnessed cardiac arrests." Their findings support AHA recommendations to implement AED programs in preventive exercise settings, they said. Also See Abstract #P1510 (8:30 a.m.) for results from the North American Public Access Defibrillation Trial showing that trained lay volunteers "responded appropriately" in more than half of out-of-hospital cardiac arrest episodes, giving CPR or using AEDs.

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Contact: Carole Bullock
carole.bullock@heart.org
214-706-1279
American Heart Association
10-Nov-2003

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