Many of the heart-related emergencies seen in ERs are due to uncontrolled high blood pressure
DALLAS -- The top cardiovascular (CVD) diagnoses from U.S. emergency departments suggest that many cardiovascular emergencies are due to poorly controlled high blood pressure, according to a study of more than 20 million emergency department visits published Sept. 8 in the Journal of the American Heart Association, an open access, peer-reviewed journal of the American Heart Association.
The researchers found that 13% of all heart-related emergency department diagnoses, representing more than 2.7 million people, were for "essential" hypertension, which is high blood pressure not caused by other diseases. Most cases of high blood pressure are essential hypertension.
"These visits resulted in hospital admission less than 3% of the time and with very few deaths - less than 0.1%. This suggests that these visits were mostly related to the management of hypertension," said lead author Mamas A. Mamas, M.D., a professor of cardiology at Keele University in Stoke-on-Trent, and a consultant cardiologist at University Hospitals of North Midlands NHS Trust, both in the UK.
For the 15 CVD conditions detailed in the study, about 30% were hypertension-related diagnoses.
The study analyzed cardiovascular diagnoses made during emergency department visits that were part of the Nationwide Emergency Department Sample from 2016-2018. The sample was 48.7% women, and the average age was 67 years. The majority were Medicare or Medicaid participants. Men in the sample were more likely to have other diseases in addition to cardiovascular disease, such as diabetes, while women had higher rates of obesity, high blood pressure and medical conditions that affect blood vessels in the brain.
The most common heart- or stroke-related diagnoses for women seen in the emergency department were high blood pressure (16% of visits), high blood pressure-related heart or kidney disease (14.1%) and atrial fibrillation (10.2%). The most common diagnoses for men were high blood pressure-related heart or kidney disease (14.7%), high blood pressure (10.8%) and heart attack (10.7%).
"Previous studies have shown sex differences in patterns of CVD among hospitalized patients," Mamas said. "However, examining CVD encounters in the emergency department provides a more complete picture of the cardiovascular health care needs of men and women, as it captures encounters prior to hospitalization." He also points out that previous studies of CVD emergency visits are limited to suspected heart attack visits. "Therefore, this analysis of 15 CVD conditions helps to better understand the full spectrum of acute CVD needs, including sex disparities in hospitalization and risk of death."
The study found that outcomes from the emergency CVD visits were slightly different for men and women. Overall, women were less likely to die (3.3% of women vs 4.3% of men) or be hospitalized (49.1% of women vs 52.3% of men) after an emergency department visit for CVD. The difference may be due to women’s generally lower risk diagnoses, said Mamas, but there could be an underestimation of deaths in women.
"We did not track deaths outside of the hospital setting," said Mamas. "Given past evidence that women are more likely to be inappropriately discharged from the emergency department, and strong evidence for the systemic undertreatment of women, further study is warranted to track outcomes beyond the emergency department visit."
An additional limitation of the data includes potential misdiagnosis errors in cases where the final diagnosis did not match the emergency diagnosis, particularly after a hospitalization and additional bloodwork and other health information could be obtained. Furthermore, the data is limited in that it does not capture information related to severity of disease, which may make comparisons around mortality differences between different patient groups challenging.
"Our work with this large, nationally representative sample of cardiovascular emergency visits highlights differences in health care needs of men and women, which may be useful to inform planning and provision of health care services," said Mamas. "We also encourage further research into understanding the underlying factors driving the differences in CVD patterns and outcomes between men and women."
St. Joseph-Ogden hands Unity conference shutout
Unity's Nolan Remole challenges St. Joseph-Ogden defender Emily Elsbernd for possession of the ball during the second half of their conference soccer match on Tuesday. The Spartans notched their 8th win of the season after defeating the host Rockets, 4-0. The Spartans play their next match on the road, this time a little further north at St. Thomas More on Thursday.
Photo: PhotoNews Media/Clark Brooks
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Unity cross-country team wins girls' title, Rocket boys finish third at Tuscola Classic
by Daniel L. Chamness
Special to The Sentinel
Tuscola -- The Unity Rockets and the Lady Lions of Marshall made it a two-team race for the team title at this year's installment of the Tuscola Cross-Country Classic on Saturday. The Lady Rockets tabulated a 13-point advantage, scoring 47 points. Marshall, who had the best one-two punch, took second with 60 points. Shelbyville, who had the individual winner, took third with 93 points. A total of 11 girls' teams posted a team score.
"We knew that Marshall would be closer to us this week than they were one week ago," said Kara Leaman, the girl's head coach. "They are very strong up front. We have enjoyed competing against them the last few weeks."
Emily Decker, Erica Woodard, Mackenzie Pound, and Olivia Shake, all Rocket underclass runners, finished in the top 10. Decker finished the three-mile race in 18 minutes, 59.64 seconds. Woodard entered the chute less than 13 seconds later, crossing at 19:12.03. Pound and Shike, ninth and 10th respectively, finished in 19:36.44 and 19:44.55. Fifteenth place runner and number five scorer for the Lady Rockets, Camryn Reedy finished in 20:44.94.
"As the race unfolded, Camryn was a bit ahead of Marshall's fifth runner," said Leaman. "We are headed to St. Joseph and the Spartan Classic this week. In the upcoming races, we want the Rocket pack to continue to move up. We have a number of runners coming on at the right time. We are looking forward to having a returning Reagan Stringer. Emily and Erica have both led us. Mackenzie continues to improve and Olivia continues to stay close to the front runners."
Josie Cler (21st, 21:35.82) and Sophia Stierwalt (29th, 22:01.11) were Unity's sixth and seventh runners. Stierwalt is the only senior in the top seven.
The Lady Rockets have won three meets this year, including a dominating victory over other Class 1A teams at the First to the Finish Invitational at Detweiller Park in Peoria, which will host the state finals on November 5. Two of their victories were over Marshall, who would finish second.
The Rocket boy's team was led by a senior, namely Brendan Graven, who would finish 18th in 17:48.84. The boys ran three miles as well.
But, after the lone senior finished, the Rockets were powered to third place as a team by four freshmen, who were the other scoring runners. The sixth and seventh runners were a junior and a Nicole sophomore respectively. Only 1:12 separated the top-five Rockets.
Camden Fairbanks would finish the race in 17:57.28 to take 20th. Eli Crowe (27th) and Collin Graven (39th) both broke 19:00 as well, entering the chute at 18:22.08 and 18:57.60. The Rocket top five was rounded out by Carter Tiemann, who finished in 19:00.20, which was good for 42nd.
"Our team is extremely young this year and I want the athletes to gain experience," said Nicole Bagwell, the Unity boys coach. "The other main goals are to remain as healthy as we can and finish the year with everyone healthy and running their best."
The Rockets finished with 134 points. Tuscola would win their home meet, which was held at Wimple Park with 102 points. Effingham-based St. Anthony took second with 105 points.
Special to The Sentinel
Tuscola -- The Unity Rockets and the Lady Lions of Marshall made it a two-team race for the team title at this year's installment of the Tuscola Cross-Country Classic on Saturday. The Lady Rockets tabulated a 13-point advantage, scoring 47 points. Marshall, who had the best one-two punch, took second with 60 points. Shelbyville, who had the individual winner, took third with 93 points. A total of 11 girls' teams posted a team score.
Unity's Josie Cler runs the course at the 2022 Tuscola Cross-Country Classic. She finished the race at 21 minutes and 35.82 seconds.
Photo: Moto Johnson/The Sentinel
Unity's Camden Fairbanks finished the race at 17:57.28 to take 20th overall on Saturday.
Photo: Moto Johnson/The Sentinel
Prep Sports Notebook: SJO volleyball wins again, Rocket road trip unsuccesful
SJO outlasts visiting Marshall, 50-21
St. Joseph-Ogden's Emma Ward served 16 consecutive points in set 2 of the Spartans' home volleyball match against Marshall on Monday. Ward, who had two aces and four digs, and the SJO squad's offensive firing on all cylinders, stretched a two-point lead to a 17-point advantage. Addie Roesch led the Spartans' attack with eight kills and three aces. The junior also had five digs. Shayne Immke smashed five kills and Josey Frerichs piled on four more in the 2-0 victory. Peyton Williams was in excellent form notching seven kills and contributing a pair of aces. The SJO squad, who won the first set 25-13 and the second 25-9, never trailed on the scoreboard in either of the two games. Taylor Hug contributed 24 assists and chalked up three digs in the non-conference win.Spartan tennis team schooled at Central
Despite eventually dropping both sets, St. Joseph-Ogden's Abby Dow, Addison Seggebruch, and Jessica Gadbury won two or more games for the Spartan tennis team in their away match against Champaign Central. SJO lost the dual match, 9-0, against the twin city team. Playing on the #1 court for the Spartans, Dow fell 6-2, 6-0 against Mariclare 0'Gorman, the area's top prep player. Seggebruch won three games in the first set in her singles match against Sarah Su to finish, 6-3, 6-0. Gadbury at #6 singles lost to Savannah Stortzum, 6-2, 6-4. Champaign Central won all three doubles matches over the Spartans.Rockets suffer another loss on the road
The Unity soccer team returned to Tolono with a loss after the team's road match at Hoopeston Area on Monday. The Rockets were shutout, 3-0. Down 2-0 at the half, the Cornjerkers (9-5-1) added a third score with 11 minutes left in the match courtesy of Talan Gredy-Nelson to secure the win. The Rockets hope to break their losing streak tonight with a win against visiting St. Joseph-Ogden. Hoopeston Area senior Cameron Zorn scored the first goal of the contest, and Owen Root, a junior, put the second ball between the posts on a pass from Gabe Joneikis. Zorns was credited with the assist on the third strike. Dylan Judy was the winning keeper, recording just two saves against Unity.Attention area high school coaches
If you are a coach at Unity, Urbana Uni-High, Urbana High School or St. Joseph-Ogden, send us your box scores, statistical leaders for each game, and other info via email to sports@oursentinel.com or editor@oursentinel.com.
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Photos this week
The St. Joseph-Ogden soccer team hosted Oakwood-Salt Fork in their home season opener on Monday. After a strong start, the Spartans fell after a strong second-half rally by the Comets, falling 5-1. Here are 33 photos from the game.
Photos from the St. Joseph-Ogden volleyball team's home opener against Maroa-Forsyth from iphotonews.com.