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

individualize medications for each patient.

The ESCAPE trial was led by Dr. Lynne Stevenson of the Brigham and Women's Hospital in Boston and coordinated by the Duke Clinical Research Institute (DCRI). Dr. Robert Califf, director of the DCRI, noted that this study demonstrates a critical principle of technology assessment at a time when many new technologies are being introduced in the hopes of improving health. "A diagnostic technology, even if it provides accurate information, can be beneficial, neutral, or detrimental, and the PAC is neutral," said Califf.

Pulmonary artery catheterization, also called Swan Ganz catheterization, was introduced for use in 1970 to provide bedside assessment and management of circulation and blood flow at a higher level of precision than has been available from other tests. The device was quickly embraced by the medical community and its use expanded beyond acutely ill cardiac patients, before its benefits were actually proven. There was no consensus regarding the risks and benefits of a PAC-based strategy. In fact, by 1996 the controversy over excessive risks was so high that several professional societies held a consensus conference to review the literature and available data on clinical benefit and safety. The consensus report, endorsed by several organizations including the Society of Critical Care Medicine, called for a clinical trial on the use of the PAC. In response to continued concerns, the NHLBI and FDA convened a workshop on the PAC in 1997 and the resulting report recommended a randomized clinical trial to test its safety and effectiveness.

ESCAPE provided important information about the effect of the PAC on patients' quality of life, although it was not the primary outcome tested.

"It was encouraging that patients in both groups had major improvement in their symptoms and their ability to exercise. Patients whose therapy was guided by the PAC reported a greate
'"/>

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:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... , ... October 13, 2017 , ... PurhealthRX , ... Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD oil will revolutionize ... providing a CBD form that can be easily incorporated into liquid products, while reducing ...
(Date:10/13/2017)... ... October 13, 2017 , ... The Visiting Nurse Association ... Featuring a collection of specialty vendors and unique items from across the nation, this ... health and wellness services offered by the VNA. The boutique will be open ...
(Date:10/13/2017)... ... October 13, 2017 , ... Coveros, a ... has been awarded a contract by the Center for Medicare and Medicaid Services ... accelerate the enterprise use of Agile methodologies in a consistent and high value ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and fastest ... to open a flagship location in Covington, LA at 401 N. U.S. Highway 190, ... next to Office Depot in the Holiday Square shopping center. Its location allows it ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information about the technology: ... develop to enable prevention of a major side effect of chemotherapy in children. ... pediatric patients. For cisplatin, hearing loss is FDA listed on-label as a dose ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... , Oct. 12, 2017 AVACEN Medical ... the company with their  2017 New Product Innovation Award ... on extensive primary and secondary medical device market research by ... through its first-to-market OTC, drug-free pain relief product, the AVACEN ... approach to treating fibromyalgia widespread pain. ...
(Date:10/12/2017)... 12, 2017 West Pharmaceutical Services, Inc. ... for injectable drug administration, today announced that it will ... on Thursday, October 26, 2017, and will follow with ... expectations at 9:00 a.m. Eastern Time. To participate on ... The conference ID is 94093362. ...
(Date:10/11/2017)...  Caris Life Sciences ® , a leading innovator ... precision medicine, today announced that St. Jude Medical Center,s ... (POA) as its 17 th member. Through participation ... Cancer Institute will help develop standards of care and ... making cancer treatment more precise and effective. ...
Breaking Medicine Technology:
Cached News: