Thursday 21 January 2016

Heart Attack in High Building Top Floor Increase Risk of Death

Heart Attack Increase Risk of Death


People affected by an attack of heart on the top floor or on the middle floor storey building, either offices or apartments, allegedly higher risk of death than those who attack the heart in the basement, according to the findings of research in Canada.
Five-year study found that there were 4.2 percent of patients in Toronto who survived that attack the heart below the third floor. While only 2.6 percent of patients who survived the attack suffered a heart on the third floor upwards. 
Only less than one percent of the patients survived, while under attack of heart on the 16th floor upwards. Ironically, none of the patients who survived an attack of heart on the 25th floor upwards.
To maintain the viability of those who attack the heart in high-rise buildings, the researcher should anticipate any possible delays to the first rescue workers, said Ian Drennan, author of the study, senior paramedic, and a Ph.D. at the University of Toronto.
"If a patient tells someone at the front desk, security guards or anyone else who was there to help, and medical personnel emergency comes, we must make sure that the door is already open, the elevator is waiting to bring aid to the above, in order to increase patient survival," said Drennan.

The higher, the more risky?
Once a heart patient stops beating, the chances of survival decrease by seven to 10 percent for every minute that passes before defibrillation use (tool stun  the heart).
Previous research has found that a longer time to wait for rescue workers arrived, was associated with reduced life expectancy of patients who had an attack of the heart, said study author.
The study also found that in order to reach the upper floors in high-rise buildings, rescue workers require a longer time to reach the patient.
"We found that when a medical emergency personnel were called to an emergency, there is a huge delay in reaching patients, especially from the time the medics left the ambulance looking for patients," said Dr. Robert A. Silverman, who is the first author of the study were quite similar in New York years 2007. He is also a professor of medicine at the Hofstra Northwell School of Medicine in Hempstead, New York.
"The delay is found in a residential building in the form of a tall building with a few blocks," said Silverman.
"The obstacles reach patients in whom is the complexity of the layout of the building, the lobby doors were locked, the elevator is slow, and the lack of a companion who can facilitate movement to the location of the patient," said Silverman again.
But how it affects patient survival, the new note now, after research from Canada, said Drennan said.
Drennan and her colleagues analyzed data from the medical database attacks the heart that occur in the dwelling-place private residence in Toronto and the surrounding area between 2007 and 2012.
The researchers also measured "response time vertical" and found that the medical emergency personnel require an average of three minutes to reach patients under the third floor. Meanwhile, to achieve the patient on the third floor upwards, it takes an average of five minutes.

Recommendation
Common people can help rescue attack patients heart with training cardiopulmonary resuscitation (CPR) and ensure paddles heart standalone or automated external defibrillators (AEDs) are available in locations that can be reached, said Drennan.
Speed ​​is very important time to increase the life expectancy of patients.This study has dipulikasikan January 18 last by the Canadian Medical Association Journal.

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