Research funded by the British Heart Foundation (BHF) has found that despite substantial reductions in the hospital death rates for heart attack patients across all age groups, there are still worrying inequalities in heart attack management for the elderly.
The study showed that a heart attack patient, no matter what their age or gender, is at almost half the risk of dying in hospital now than in 2003. Specialist treatments that open blocked or narrowed arteries supplying blood to the heart – such as coronary angioplasty – are now more likely to be used. The improvements in specialist care are evidence of the impact of the National Service Framework for Coronary Heart Disease (NSF CHD). This was a 10 year strategy between 2000 and 2010 that drove modernising of heart disease services. It has been crucial in reducing death and disability caused by heart disease in England and Wales. But, there is still much work to be done and inequalities that need addressing. Heart attack patients who are over 85 are less likely to receive the specialist care of a cardiologist. They are also 75% less likely than someone under 55 to receive emergency coronary angioplasty or clot busting drugs. Natasha Stewart, BHF senior cardiac nurse, said: “This study highlights the importance of providing the best possible care to all heart patients regardless of their age. It’s not fully clear why the over 85s are missing out but it’s wholly unacceptable that elderly heart attack patients do not have equal access to a cardiologist in the UK. This reduces their chance of getting early interventions, even though there’s evidence that they would benefit just as much as younger patients.” The research was published in the European Heart Journal.
