NSTEMI (Non-ST-segment elevation myocardial infarction)

Find all the latest content on NSTEMI published on this website.

NSTEMI is considered one of the leading causes of morbidity and mortality and its definition and treatment remains challenging requiring specific, adapted responses. Understanding different biomarkers, becoming aware of emerging new agents used in adjunctive pharmacotherapy, keeping abreast of advances in imaging techniques as well as the use of invasive imaging and functional assessment is critical. Tools, devices and techniques, and complications such as different types of vascular access or bleeding risks, can also be found here…

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NSTEMI

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Challenging cases – Best case submissions

07 Dec 2023 – From GulfPCR-GIM 2023

Explore catheter intervention for mechanical valve thrombosis, understand severe chest pain and shock in a young female patient, discover iatrogenic left main coronary artery type F dissection, address refractory ascites transitioning from internal medicine to interventional cardiology, and witness a narrowly avoided rotablation nightmare in this...

Challenging cases – Best case submissions

Cardiovascular pot pourri

07 Dec 2023 – From GulfPCR-GIM 2023

In this selection of Clinical Case submissions to GulfPCR-GIM 2023, explore a wide variety of scenarios, such as a rare case of double primary ischemic stroke compounded by a myocardial infarction, and neoatherosclerosis leading to late stent failure.

When complications storm through the cathlab: part 2

07 Dec 2023 – From GulfPCR-GIM 2023

The continuation of this session focuses on complications that may occur during PCI in the cathlab. Through the lens of these cases, be prepared about what type of complications one might face during PCI, and get updates on the latest guidelines and tools developed for emergencies.

When complications storm through the cathlab: part 3

07 Dec 2023 – From GulfPCR-GIM 2023

These slides focus on complications that may occur during PCI in the cathlab. Through the lens of this case, be prepared about what type of complications one might face during PCI, and get updates on the latest guidelines and tools developed for emergencies.

Complication cases - Best case submissions

06 Dec 2023 – From GulfPCR-GIM 2023

Benefit from a selection of 6 clinical cases whose complications are particularly interesting to discuss, including pericardial effusion following circumflex artery intervention, or Rota burr incarceration, to perfect your knowledge and gain tips and tricks to manage them better when you, in turn, come up against...

Complication cases - Best case submissions

Abstracts session 1

06 Dec 2023 – From GulfPCR-GIM 2023

Broaden your knowledge with this selection of abstracts submitted to GulfPCR-GIM 2023, covering topics such as aortic procedures, LV function recovery after CTO recanalization, and the state of PCI in the region of Kurdistan in Iraq.

Guiding intervention for complex coronary lesions by optical coherence tomography or intravascular ultrasound

06 Nov 2023

The OCTIVUS trial was a prospective multicentre, open-label, randomised controlled trial comparing OCT guided PCI with IVUS guided PCI. In this pre-specified sub-study, the authors report the outcomes in patients with complex coronary lesions undergoing OCT- or IVUS-guided PCI. 

Nicola Ryan

Reviewer

Nicola Ryan
Guiding intervention for complex coronary lesions by OCT or IVUS

T-PASS: Less than 1-month DAPT followed by ticagrelor monotherapy after DES Implantation for ACS

26 Oct 2023

Ali Nazmi Calik interviews Myeong-Ki Hong about the results of the T-Pass randomised trial which he presented during the #TCT Congress 2023 in San Francisco.

Myeong-Ki Hong

Author

Myeong-Ki Hong

Author

Ali Nazmi Calik
T-PASS: Less than 1-month DAPT followed by ticagrelor monotherapy after DES Implantation for ACS

Clopidogrel versus aspirin monotherapy beyond 1 year after PCI: STOPDAPT-2 five-year results

03 Nov 2023

The STOPDAPT-2 trial was a multicenter, open-label, adjudicator-blinded, randomised control trial comparing clopidogrel monotherapy after one-month DAPT with aspirin monotherapy following 12-months DAPT in patients undergoing PCI with a everolimus-eluting stent...

Nicola Ryan

Reviewer

Nicola Ryan
Clopidogrel versus Aspirin Monotherapy Beyond 1 Year After PCI: STOPDAPT-2 5-Year Results

Advances in STEMI and Stable CAD

22 Sep 2023 – From AICT-AsiaPCR 2023

Explore cutting-edge insights into STEMI and Stable CAD through these presentations: delve into the intricate details of characterizing culprit coronary lesions in STEMI patients using OCT, uncover the short- and long-term outcomes for Asian STEMI patients following primary PCI and gain a comprehensive understanding of the...

Advances in STEMI and Stable CAD

Uncommon complications in NSTEMI

22 Sep 2023 – From AICT-AsiaPCR 2023

Discoversome unforeseen challenges in NSTEMI cases in this session, ranging from managing coronary air embolisms and distinguishing between inflammation and infarction to dealing with coronary aneurysms at the left main coronary artery bifurcation and addressing type 5 coronary perforation. 

Uncommon complications in NSTEMI

Advanced techniques for managing calcified lesions

22 Sep 2023 – From AICT-AsiaPCR 2023

Discover advanced strategies for tackling complex calcified lesions in this session: from innovative approaches like the 'Orbital-shock' technique to managing calcified lesions in patients with previous CABG and in-stent restenosis, and exploring calcium modification strategies tailored to specific cases, these presentations offer valuable insights into simplifying...

Advanced techniques for managing calcified lesions

Innovations in managing calcified lesions

22 Sep 2023 – From AICT-AsiaPCR 2023

Discover advanced strategies for dealing with challenging calcified lesions in this session: learn how to tackle complex situations, including diffuse and heavily calcified lesions, and discover innovative techniques for addressing angulated calcified lesions in the left anterior descending artery and other vessels.

Innovations in managing calcified lesions

Complex left main scenarios

21 Sep 2023 – From AICT-AsiaPCR 2023

Discover unique insights into these challenging left main scenarios, including anomalous left coronary artery from the pulmonary artery (ALCAPA), guide extension catheter entrapment by a coronary stent, the utility of OCT guidance in complex left main trifurcation PCI, and a rare instance of a young patient with...

Complex left main scenarios

NSTEMI: lessons from real cases

21 Sep 2023 – From AICT-AsiaPCR 2023

Explore real-world cases in this NSTEMI session where experts discuss their experiences in managing challenging scenarios: learn about novel techniques to handle RCA perforations, restore torqued and kinked catheters, and more!

NSTEMI: lessons from real cases

Top abstracts of AICT-AsiaPCR 2023

21 Sep 2023 – From AICT-AsiaPCR 2023

Explore the cutting-edge research showcased in the top abstracts of AICT-AsiaPCR 2023, featuring insights on CT-based valve sizing for TAVR in bicuspid aortic stenosis and the impact of bleeding events post-TAVI on long-term mortality.

Top abstracts of AICT-AsiaPCR 2023

Challenges in calcified lesions

21 Sep 2023 – From AICT-AsiaPCR 2023

Explore a variety of challenging cases in this session, from the perplexing uncrossable STEMI to the specialized "Blocked" balloon anchoring technique, the unique challenges of calcified lesions in elderly patients to the debulking of a calcified nodule within the left circumflex ostium through the stent strut,...

Challenges in calcified lesions

Left main interventions: cutting-edge insights

21 Sep 2023 – From AICT-AsiaPCR 2023

Join us in this session on left main interventions and explore the challenges and strategies for left main PCI in complex cases, from minimalist approaches in limited-resource settings to complex procedures like percutaneous transluminal coronary angioplasty with IVUS guidance.

Left main interventions: cutting-edge insights

2023 ESC Guidelines for the management of acute coronary syndromes

30 Aug 2023

Cardiovascular disease in particular ischaemic heart disease is the leading cause of mortality worldwide. International guidelines provide recommendations on the best evidence-based care for patients. At the ESC Congress 2023 in Amsterdam, the ESC 2023 Guidelines on Acute Coronary Syndromes were presented and published1. Vijay Kunadian provides...

Vijay Kunadian

Author

Vijay Kunadian
2023 ESC Guidelines for the management of acute coronary syndromes

ECLS-SHOCK: venoarterial membrane oxygenation in cardiogenic shock

27 Aug 2023

Panos Xaplanteris & Leonidas Koliastasis provide their take on the final results of the ECLS-SHOCK (Extracorporeal Life Support in Infarct-Related Cardiogenic Shock) which were presented by Holger Thiele during the ESC 2023 congress in Amsterdam.

Panagiotis Xaplanteris

Author

Panagiotis Xaplanteris

Author

Leonidas Koliastasis
ECLS-SHOCK