HOME >> MEDICINE >> NEWS
No increase in deaths for heart failure patients with pulmonary artery catheter

New Orleans, LA, Nov. 9, 2004 The pulmonary artery catheter (PAC), a device that measures pressures and flows in the heart, is frequently used to diagnose, monitor, and guide treatment of congestive heart failure and other conditions. However, use of the PAC has been controversial with varying opinions as to its risk and benefits. New findings from a multi-center study supported by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health show that the PAC did not significantly increase or decrease deaths or the number of days hospitalized in patients with severe heart failure.

The results of the Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE) Trial are being presented today in the late-breaking clinical trials section of the American Heart Association's Scientific Sessions 2004.

"Heart failure affects about 5 million Americans and the numbers are growing. So it is important to find out the best way to diagnose and treat this serious condition. The ESCAPE study lays to rest concerns that use of a pulmonary artery catheter in patients with advanced heart failure is associated with increased death and hospitalization. At the same time, the study suggests that PAC should not be used routinely to guide therapy. This is an invasive procedure with potentially serious complications and, without a definite survival benefit, its use should be carefully evaluated," said NHLBI Acting Director Barbara Alving, M.D.

About 4 percent of the patients undergoing pulmonary artery catheterization experienced complications, including cardiac arrest and infection but there were no PAC-related deaths. Patients in both groups studied those who received a PAC and those whose therapy was guided by clinical assessment spent about 8 days in the hospital.

ESCAPE was a randomized clinical trial of 433 patients at 26 sites in the U.S. and Canada. The p
'"/>

Contact: NHLBI Communications Office
nhlbi_news@nhlbi.nih.gov
301-496-4236
NIH/National Heart, Lung, and Blood Institute
9-Nov-2004


Page: 1 2 3 4

Related medicine news :

1. Study finds that coordinating care of chronically ill patients does not increase liability
2. Primary care office strategies may increase colon cancer screening
3. Health care report cards may increase racial/ethnic disparities in bypass operations
4. Vitamin E may not prevent cancer or cardiovascular events, but may increase risk for heart failure
5. Study shows acrylamide in baked and fried food does not increase risk of breast cancer in women
6. Postmenopausal breast cancer survivors at increased risk for bone fractures
7. Obesity among African-American stroke survivors increases risk factors for recurrent stroke
8. Computerized order entry systems can increase risk of medication errors
9. Study suggests smoking while pregnant may increase chromosomal abnormalities in fetal cells
10. Even mild depression increases long-term mortality in heart failure
11. Current daily smoking may be associated with increased risk for suicidal thoughts and attempts

Post Your Comments:
(Date:4/17/2014)... that as many as 10 million older Americans suffer ... and isolation. , However, new research a project ... Americans for six years found that Internet use ... by more than 30 percent. , "That,s a very ... professor of telecommunication, information studies and media who led ...
(Date:4/17/2014)... 17, 2014 By discovering a new mechanism that ... stroke, researchers at UC Irvine and the Salk Institute ... limit or prevent stroke-induced brain damage. , A complex ... of death and primary reason for disability in the ... stroke and lets blood-borne material into the brain, causing ...
(Date:4/17/2014)... by researchers at UC Davis has shown that the ... in cell division, also boosts the mitochondrial activity to ... complex has been shown to perform both jobs. This ... to control cellular energy production, potentially advancing cancer care ... in the journal Developmental Cell . , "These ...
(Date:4/17/2014)... April 2014) Population Council scientists and their partners have ... and can prevent the transmission of multiple sexually transmitted ... animals: HIV, herpes simplex virus 2 (HSV-2), and human ... data that the gel is effective against multiple strains ... the vagina against all three viruses of at least ...
(Date:4/17/2014)... Massage therapy improves general blood flow and alleviates ... by researchers at the University of Illinois at ... of print in the Archives of Physical ... improved vascular function in people who had not ... regardless of their level of physical activity. , ...
Breaking Medicine News(10 mins):Health News:Internet use can help ward off depression among elderly 2Health News:Study IDs new cause of brain bleeding immediately after stroke 2Health News:Dual role: Key cell division proteins also power up mitochondria 2Health News:Animal study provides first evidence that gel can prevent multiple virus transmission in vagina/rectum 2Health News:Massage therapy improves circulation, eases muscle soreness 2
(Date:1/14/2014)... InformEx, North America,s leading business partnering ... the 30 th edition of its annual conference at ... January 21-24. (Logo: http://photos.prnewswire.com/prnh/20131028/NY05330LOGO-a ) ... and specialty chemical companies will take part in the conference, ...
(Date:1/14/2014)... Ore. , Jan. 14, 2014 /PRNewswire-iReach/ -- Acumed,s ... a targeting guide with accompanying instrumentation to place and ... adjunct to the soft tissue (e.g. ligament) repair or ... tissue repair heals. (Photo: http://photos.prnewswire.com/prnh/20140114/MN45636 ) ...
(Date:1/14/2014)... 2014 NineSigma , Inc., the leading innovation ... Leadership Summit , May 14-16, 2014 at the Global ... . This is the premier ... breakthrough achievements through open innovation. Participants will learn how ...
Breaking Medicine Technology:Media Advisory: InformEx 2014 Events & Speaker Lineup for 30th Edition Conference in Miami Beach 2Acumed introduces the Scapho-Lunate Inter Carpal (SLIC) Screw System 2Acumed introduces the Scapho-Lunate Inter Carpal (SLIC) Screw System 3Expect the Unexpected from Leading Global Innovators at NineSigma Leadership Summit, Sharing Winning Strategies to Advance Innovation 2Expect the Unexpected from Leading Global Innovators at NineSigma Leadership Summit, Sharing Winning Strategies to Advance Innovation 3Expect the Unexpected from Leading Global Innovators at NineSigma Leadership Summit, Sharing Winning Strategies to Advance Innovation 4
Cached News: