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

284 results

FIRE trial: physiology-guided complete PCI in older MI patients

27 Aug 2023

Luis Ortega-Paz interviews Simone Biscaglia and Gianluca Campo about the FIRE trial.
Results showed elderly patients presenting with either STEMI or NSTEMI benefit from complete revascularization, reducing cardiovascular events risk at 1 year compared to culprit lesion-only PCI.

Published simultaneously in the New England Journal of Medicine

Luis Ortega-Paz

Author

Luis Ortega-Paz
Simone Biscaglia

Author

Simone Biscaglia
Gianluca Campo

Author

Gianluca Campo
FIRE trial: physiology-guided complete PCI in older MI patient

Impact of alirocumab on plaque regression and haemodynamics of non-culprit arteries in patients with acute myocardial infarction: a prespecified substudy of the PACMAN-AMI trial

12 Jul 2023

This is a trial aiming to assess QFR and 3D-QCA DS% of all the non-infarct related arteries (IRA) with 3D-QCA DS% in all patients presenting with STEMI/NSTEMI and undergoing coronary angiography. 

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag

Reviewer

Jamilah AlRahimi
Impact of alirocumab on plaque regression and haemodynamics of non-culprit arteries in patients with acute myocardial infarction: a prespecified substudy of the PACMAN-AMI trial

Percutaneous coronary intervention vs coronary artery bypass graft surgery for left main disease in patients with and without acute coronary syndromes: a pooled analysis of 4 randomized clinical trials

05 Jul 2023

This patient-level analysis of randomized trials comparing PCI vs CABG for the treatment of low-to-intermediate CAD involving the LM confirms the absence of long-term differences in mortality between revascularization techniques, regardless of the clinical presentation.

Giovanni Occhipinti

Reviewer

Giovanni Occhipinti
Daniele Giacoppo

Reviewer

Daniele Giacoppo
PCI vs CABG surgery for LM disease in patients with and without ACS: a pooled analysis of 4 randomized clinical trials

PCI or CABG for left main coronary artery disease: the SWEDEHEART registry

28 Jun 2023

While the choice between PCI and CABG for LMCA disease continues to be one of the most controversial topics, patient characteristics & comorbidities must be taken into account, as must the external validity of the results of RCTs in the real world, as the SWEDEHEART registry does.

Panagiotis Xaplanteris

Reviewer

Panagiotis Xaplanteris

Reviewer

Leonidas Koliastasis
PCI or CABG for left main coronary artery disease: the SWEDEHEART registry

Single antiplatelet therapy directly after percutaneous coronary intervention in non-ST-segment elevation acute coronary syndrome patients: the OPTICA study

24 May 2023

The aim of the current trial was to explore if direct P2Y12 inhibitor monotherapy was feasible and safe in patients with NSTEMI undergoing PCI.

Elad Asher

Reviewer

Elad Asher
Single antiplatelet therapy directly after percutaneous coronary intervention in non-ST-segment elevation acute coronary syndrome patients: the OPTICA study

EuroPCR 2023 Hotlines/Late-Breaking Trials: from (N)STEMI to Chronic Coronary Syndromes (CCS)

19 May 2023 – From EuroPCR 2023

What are the most significant facts in this respect? Get the essentials by listening to the presenters review some clinical hotlines. To cite a few, Selective Intracoronary hypothermia in anterior wall myocardial infarction; real-time catheter-based microvascular obstruction detection in STEMI : results from the MOCCA I...

from (N)STEMI to Chronic Coronary Syndromes (CCS)

ACS - Abstract session

19 May 2023 – From EuroPCR 2023

Looking for a quick review of the Abstract session on acute coronary syndrome (ACS)? Explore the presentation slides available here and catch up on key elements to consider.

PCI complications: stent loss / dissertations / perforations

19 May 2023 – From EuroPCR 2023

Discover the case of an 81-year-old woman with diabetes mellitus type 2 and severe aortic stenosis, who presented with a unique challenge of double coronary artery perforation. With a plan for angioplasty and percutaneous aortic valve implantation, this complex scenario highlights the expertise and multidisciplinary approach required in...

PCI complications: stent loss / dissertations / perforations

STEMI and adjunctive theraphy

18 May 2023 – From EuroPCR 2023

Delve into the world of STEMI and adjunctive therapy in this session: explore the potential impact of antiplatelet therapy on achieving an "optimal" angiographic result, gain insights into the considerations surrounding tirofiban and ticagrelor use during pregnancy and delivery, discover the role of cangrelor in the...

STEMI and adjunctive theraphy

Unusual NSTEMI

18 May 2023 – From EuroPCR 2023

Embark on an exploration of unusual NSTEMI cases, where extraordinary interventions and innovative approaches redefine patient care: witness the life-saving use of ECMO in acute coronary occlusion and cardiac arrest, delve into the complexities of multivessel PCI in patients with global vascular disease and renal dysfunction,...

Unusual NSTEMI

How to treat coronary aneurysm

18 May 2023 – From EuroPCR 2023

Treating coronary aneurysms requires careful consideration and depends on several facors such as specifics characteristics of the aneurysms and patient’s conditions. Learn more the way to treat them throught this series of cases: massive thrombosis of an RCA aneurysm ; new insight toward understanding WOVEN like...

How to treat coronary aneurysm

EuroPCR 2023 Hotlines/Late-Breaking Trials: focus on wire and image-based physiology

18 May 2023 – From EuroPCR 2023

Find out more about a series of studies focusing on wire and image based physiology: Coronary microvascular function and CT coronary angiography trial aiming to assess whether endotype diagnosis informed by coronay function testing vs angiography improved angina; a 5-year follow up of the DEFINE FLAIR;...

wire and image-based physiology

Coronary artery disease: more imaging, less imagination

18 May 2023 – From EuroPCR 2023

In these slides, explore associations between angiography-based FFR and OCT-detected luminal obstruction, prognostic impact of ischaemia vs. plaque vulnerability, CT's mortality foresight, and much more.

Coronary artery disease: more imaging, less imagination

STEMI: how to treat the thrombus

18 May 2023 – From EuroPCR 2023

Consult this session to gain insights into the treatment of thrombus in STEMI cases: discover a primary angioplasty trick for managing a thrombus-laden RCA, explore the effectiveness of intracoronary thrombolysis and aspiration thrombectomy, uncover a unique approach to addressing left main stem complications with a "less...

STEMI: how to treat the thrombus

Complications of access site

18 May 2023 – From EuroPCR 2023

Discover a selection of cases involving access site complications: learn innovative strategies for reutilizing a chronically occluded radial access site prior to PCI, view acute compartment syndrome caused by radial artery spasm after PCI, explore the application of a special technique for intra-aortic balloon pump insertion in...

Complications of access site

Cathlab: different issues

18 May 2023 – From EuroPCR 2023

Discover this series of slides specialised for nurses and allied professionals (NAPs). Explore topics such as the road to and from the cathlab,  contrast-induced nephropathy, cerebral embolic protection during TAVI, educational guides, emerging technologies'  and address radiation concerns for pregnant cathlab staff with best protection practices.

Cathlab: different issues

PCI with drug eluting balloons

17 May 2023 – From EuroPCR 2023

Consult this compilation of difficult cases experienced by your colleagues, providing helpful and practical information on drug-eluting balloon strategies in percutaneous coronary intervention (PCI). Watch commented slides and learn about the diverse medical histories, approaches and treatment tailored to the complexity of each individual case.

PCI with drug eluting balloons

ACS and SCAD

17 May 2023 – From EuroPCR 2023

Explore the captivating case of "A young farmer under pressure - when the invasive cardiologist asks for a knife," among other remarkable presentations at EuroPCR. Dig into this specific case, as well as discussions on Acute Coronary Syndrome (ACS) and Spontaneous Coronary Artery Dissection (SCAD), and...

Acute Coronary Syndrome and Spontaneous Coronary Artery Dissection

PCR's Got Talent - Round 2 - Session 2

17 May 2023 – From EuroPCR 2023

Join Round 2, Session 2 of PCR's Got Talent for insights into the safety and efficacy of protamine administration in TAVR patients with recent PCI.

PCR's Got Talent - Round 2 - Session 2

Novel treatment strategies in ACS patients

17 May 2023 – From EuroPCR 2023

Seeking to revive your understanding on novel strategies in ACS treatment? Explore this collection of resources to get insight on optimal antithrombotic therapy in AF patients post-PCI, complete revascularisation in ACS, and early invasive approaches in high-risk NSTEMI, among other topics. 

Novel treatment strategies in ACS patients