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RISK OF DYING INCREASES WITH IN-HOSPITAL HEART ATTACKS

INTRO:When someone experiences a heart attack in the community and arrives at the hospital there are well organized practices to help re-open blocked arteries. But what happens when a patient has a heart attack while hospitalized for unrelated health problem? A new study examined whether those patients also receive quick and efficient care for their heart attack. Catherine Dolf explains in this week’s JAMA Report.

VIDEO
B-ROLL
David walking outside, standing at reception desk

AUDIO
VO
MORE THAN A YEAR AGO DAVID COLLINS WAS IN THE HOSPITAL RECEIVING HIS LAST TREATMENT FOR KIDNEY CANCER, WHEN HE HAD A HEART ATTACK.

AUDIO
SOT/FULL Super @:07 David Collins – Heart Patient Runs:05
“It didn’t really make any sense to me to start with why was I having a heart attack and I was in the hospital.”

VIDEO
B-ROLL
Dr. Yeung pointing to computer screen, David looking, Dr. Yeung pointing out blockage

AUDIO
VO
HIS PHYSICIAN, DR. MICHAEL YEUNG (Young), SHOWS DAVID THE TYPE OF BLOCKAGES THAT WERE FOUND IN HIS HEART.

AUDIO
NATSO/FULL Runs:02
“…right there, you see that blockage…”

AUDIO
SOT/FULL Super@:19 Prashant Kaul, M.D., – University of North Carolina, Chapel Hill Runs:09
“If there is a complete blockage and there is no blood getting to that part of the heart that is an ST-Elevation myocardial infarction or heart attack.”

VIDEO
B-ROLL
Freeze of heart on computer with STEMI dissolving across screen

AUDIO
VO
ALSO KNOWN AS “STEMI” (STEM-E).

AUDIO
SOT/FULL Super@:30 George A. Stouffer, M.D., – University North Carolina, Chapel Hill Runs:05
“Inpatient STEMI’s, occur at a higher rate than we have previously thought.”

VIDEO
B-ROLL
Dr. Stouffer and Dr. Kaul walking down hospital hallway going into cath lab, both doctors inside cath lab, people outside walking on the street

AUDIO
VO
DOCTORS GEORGE STOUFFER AND PRASHANT KAUL (Call) ALONG WITH THEIR COLLEAGUES AT THE UNIVERSITY OF NORTH CAROLINA EXAMINED DATA FROM PATIENTS WHO EXPERIENCED STEMI’S AT 303 CALIFORNIA HOSPITALS DURING A FOUR YEAR PERIOD. ABOUT 95 PERCENT OF PATIENTS HAD THEIR HEART ATTACK OUTSIDE THE HOSPITAL. 5 PERCENT HAD A HEART ATTACK WHILE HOSPITALIZED FOR A NON-HEART RELATED PROBLEM.

AUDIO
SOT/FULL Super@:57 Prashant Kaul, M.D., – University of North Carolina, Chapel Hill Runs:10
“For patients who have a heart attack outside of the hospital there’s a very well organized and finally tuned protocol now for taking care of patients like this.”

(Video covering 1st part of bite: people walking outside)

VIDEO
B-ROLL
Medication into a syringe, two stents on table

AUDIO
VO
THAT INCLUDES USING MEDICATIONS AND A BALLOON OR STENT TO OPEN THE BLOCKED ARTERY.

AUDIO
SOT/FULL Super@1:10 George A. Stouffer, M.D., – University North Carolina, Chapel Hill Runs:10
“Patients who have inpatient STEMI’s are unlikely to receive interventional treatment. They received interventional therapy or balloon angioplasty only 20 percent of the time.”

(Video covering middle of bite: patients receiving an angiogram)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:23 Prashant Kaul, M.D., – University of North Carolina Runs:08
“They are generally older patients, they’re sicker patients, they were less likely to go home and they were more than three times likely to die.”

(Video covering 2nd half of bite: patient on gurney)

AUDIO
SOT/FULL Super@1:31 George A. Stouffer, M.D., – University North Carolina Runs:10
“We need to look at those systems for patients who have a heart attack in the hospital and take those patients who will truly benefit from treatment and get them treated in a rapid manner.”

(Video covering 2nd half of bite: doctors in cath lab)

VIDEO
B-ROLL
David and his wife walking

VIDEO
B-ROLL
DAVID, A BUSY FARMER, IS NOW BACK ON THE JOB, FEELING MUCH BETTER AND THANKFUL.

AUDIO
SOT/FULL Super @1:46 David Collins – Heart Patient Runs:10
“I’m glad that it happened the way it did because I had some blockages in other places now that I’ve got that fixed I just feel better than I’ve felt in a long time.”

(Video covering 2nd half of bite: sitting on bench with his wife talking)

VIDEO
B-ROLL
David and wife sitting on bench

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG:STUDY AUTHORS SAY THOSE EXPERIENCING A HEART ATTACK IN THE HOSPITAL WERE ALSO MORE LIKELY TO BE WOMEN.

INTRO:When someone experiences a heart attack in the community and arrives at the hospital there are well organized practices to help re-open blocked arteries. But what happens when a patient has a heart attack while hospitalized for unrelated health problem? A new study examined whether those patients also receive quick and efficient care for their heart attack. Catherine Dolf explains in this week’s JAMA Report.

VIDEO
B-ROLL
David walking outside, standing at reception desk

AUDIO
VO
MORE THAN A YEAR AGO DAVID COLLINS WAS IN THE HOSPITAL RECEIVING HIS LAST TREATMENT FOR KIDNEY CANCER, WHEN HE HAD A HEART ATTACK.

AUDIO
SOT/FULL Super @:07 David Collins – Heart Patient Runs:05
“It didn’t really make any sense to me to start with why was I having a heart attack and I was in the hospital.”

VIDEO
B-ROLL
Dr. Yeung pointing to computer screen, David looking, Dr. Yeung pointing out blockage

AUDIO
VO
HIS PHYSICIAN, DR. MICHAEL YEUNG (Young), SHOWS DAVID THE TYPE OF BLOCKAGES THAT WERE FOUND IN HIS HEART.

AUDIO
NATSO/FULL Runs:02
“…right there, you see that blockage…”

AUDIO
SOT/FULL Super@:19 Prashant Kaul, M.D., – University of North Carolina, Chapel Hill Runs:09
“If there is a complete blockage and there is no blood getting to that part of the heart that is an ST-Elevation myocardial infarction or heart attack.”

VIDEO
B-ROLL
Freeze of heart on computer with STEMI dissolving across screen

AUDIO
VO
ALSO KNOWN AS “STEMI” (STEM-E).

AUDIO
SOT/FULL Super@:30 George A. Stouffer, M.D., – University North Carolina, Chapel Hill Runs:05
“Inpatient STEMI’s, occur at a higher rate than we have previously thought.”

VIDEO
B-ROLL
Dr. Stouffer and Dr. Kaul walking down hospital hallway going into cath lab, both doctors inside cath lab, people outside walking on the street

AUDIO
VO
DOCTORS GEORGE STOUFFER AND PRASHANT KAUL (Call) ALONG WITH THEIR COLLEAGUES AT THE UNIVERSITY OF NORTH CAROLINA EXAMINED DATA FROM PATIENTS WHO EXPERIENCED STEMI’S AT 303 CALIFORNIA HOSPITALS DURING A FOUR YEAR PERIOD. ABOUT 95 PERCENT OF PATIENTS HAD THEIR HEART ATTACK OUTSIDE THE HOSPITAL. 5 PERCENT HAD A HEART ATTACK WHILE HOSPITALIZED FOR A NON-HEART RELATED PROBLEM.

AUDIO
SOT/FULL Super@:57 Prashant Kaul, M.D., – University of North Carolina, Chapel Hill Runs:10
“For patients who have a heart attack outside of the hospital there’s a very well organized and finally tuned protocol now for taking care of patients like this.”

(Video covering 1st part of bite: people walking outside)

VIDEO
B-ROLL
Medication into a syringe, two stents on table

AUDIO
VO
THAT INCLUDES USING MEDICATIONS AND A BALLOON OR STENT TO OPEN THE BLOCKED ARTERY.

AUDIO
SOT/FULL Super@1:10 George A. Stouffer, M.D., – University North Carolina, Chapel Hill Runs:10
“Patients who have inpatient STEMI’s are unlikely to receive interventional treatment. They received interventional therapy or balloon angioplasty only 20 percent of the time.”

(Video covering middle of bite: patients receiving an angiogram)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:23 Prashant Kaul, M.D., – University of North Carolina Runs:08
“They are generally older patients, they’re sicker patients, they were less likely to go home and they were more than three times likely to die.”

(Video covering 2nd half of bite: patient on gurney)

AUDIO
SOT/FULL Super@1:31 George A. Stouffer, M.D., – University North Carolina Runs:10
“We need to look at those systems for patients who have a heart attack in the hospital and take those patients who will truly benefit from treatment and get them treated in a rapid manner.”

(Video covering 2nd half of bite: doctors in cath lab)

VIDEO
B-ROLL
David and his wife walking

VIDEO
B-ROLL
DAVID, A BUSY FARMER, IS NOW BACK ON THE JOB, FEELING MUCH BETTER AND THANKFUL.

AUDIO
SOT/FULL Super @1:46 David Collins – Heart Patient Runs:10
“I’m glad that it happened the way it did because I had some blockages in other places now that I’ve got that fixed I just feel better than I’ve felt in a long time.”

(Video covering 2nd half of bite: sitting on bench with his wife talking)

VIDEO
B-ROLL
David and wife sitting on bench

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG:STUDY AUTHORS SAY THOSE EXPERIENCING A HEART ATTACK IN THE HOSPITAL WERE ALSO MORE LIKELY TO BE WOMEN.

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