{"id":2064,"date":"2017-02-02T22:42:00","date_gmt":"2017-02-02T22:42:00","guid":{"rendered":"https:\/\/oxygenworldwide.wordpress.com\/?p=2064"},"modified":"2017-02-02T22:42:00","modified_gmt":"2017-02-02T22:42:00","slug":"saving-lives-since-the-1900s","status":"publish","type":"post","link":"https:\/\/www.oxygenworldwide.com\/fr\/saving-lives-since-the-1900s\/","title":{"rendered":"Saving lives since the 1900s"},"content":{"rendered":"<p>\t\t\t\tCoronary heart disease (CHD) remains a significant cause of death, accounting for 1 in 10 deaths worldwide.<br \/>\n<a href=\"https:\/\/oxygenworldwide.wordpress.com\/2017\/02\/02\/saving-lives-since-the-1900s\/heart\/\" rel=\"attachment wp-att-2065 noopener\" target=\"_blank\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-2065\" src=\"https:\/\/www.oxygenworldwide.com\/wp-content\/uploads\/2017\/02\/heart.png\" alt=\"heart\" width=\"261\" height=\"193\" \/><\/a><br \/>\nA study in to whether oxygen therapy in patients that have suspected heart conditions is being conducted.<br \/>\nInternational guidelines recommend improving or decreasing the cardiac workload using a combination of therapies known as MONA: morphine, oxygen, nitrates, and <a href=\"http:\/\/www.thecardiologyadvisor.com\/metabolic\/antiplatelet-response-in-diabetes-and-obesity\/article\/634402\/\" target=\"_self\" rel=\"noopener\">aspirin<\/a>.<br \/>\nOxygen, via face mask or nasal cannula, is often administered to patients with suspected AMI.<br \/>\nAccording to Dion Stub, MBBS, PhD, from The Alfred Hospital in Melbourne, Australia, treating AMI with oxygen has its roots in practices dating back more than a century. \u201cOxygen was first administered to patients with suspected ACS in 1900, and to this day is given to [more than] 90% of patients with cardiac emergencies. Whilst other medical practices from the early 1900s \u2014 such as starvation diets for aneurysms and mercury as a treatment for infections \u2014 were quickly discarded, the routine use of oxygen in cardiac emergencies has remained a pervasive component of first medical response,\u201d Dr Stub told <i><a href=\"http:\/\/www.thecardiologyadvisor.com\/\" target=\"_self\" rel=\"noopener\">Cardiology Advisor<\/a><\/i>.<br \/>\nOxygen therapy may decrease cardiac blood flow and perfusion, reduce cardiac output, and increase coronary vascular resistance.<br \/>\nIn 2010, Juan Cabello, MD, PhD, from Hospital General Universitario de Alicante in Spain, and colleagues published a review of the literature for oxygen therapy in AMI conducted to determine whether this practice is helpful or harmful. They found that robust evidence to support the use of oxygen to treat AMI was lacking.<sup><br \/>\n<\/sup><br \/>\nThe uncertainty of whether oxygen therapy in AMI is beneficial or harmful has stimulated the development of clinical trials examining this question.<br \/>\nAccording to Dr Cabello, no firm recommendation can be made regarding oxygen therapy for AMI given the low quality and scarcity of the available clinical trial evidence. \u201cThe message for clinicians is that we still do not know if oxygen is helpful, harmful, or useless,\u201d he said. \u201cThere are theoretical reasons why it could help and also why it could do harm.\u201d<br \/>\n\u201cThis updated <i>Cochrane<\/i> <i>Review<\/i> further emphasizes the message that oxygen should be treated like all other medical therapies, in which efficacy needs to be balanced with the side effect profile,\u201d Dr Stub said.<br \/>\nReferences: http:\/\/www.thecardiologyadvisor.com\t\t<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Coronary heart disease (CHD) remains a significant cause of death, accounting for 1 in 10 deaths worldwide. A study in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2065,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"iawp_total_views":0,"footnotes":""},"categories":[6],"tags":[35,578,579],"class_list":["post-2064","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-portable-oxygen","tag-oxygen","tag-cardiology","tag-mi"],"_links":{"self":[{"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/posts\/2064","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/comments?post=2064"}],"version-history":[{"count":0,"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/posts\/2064\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/media\/2065"}],"wp:attachment":[{"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/media?parent=2064"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/categories?post=2064"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.oxygenworldwide.com\/fr\/wp-json\/wp\/v2\/tags?post=2064"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}