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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Pregnant women working in the cathlab

17 May 2023 – From EuroPCR 2023

Lynn Hinterbuchner welcomes Angeliki Kolyda, radiographer, in the PCR TV studio, in the heart of EuroPCR 2023, to talk about pregnancy in the cathlab. Should a woman really worry about working in a cathlab? If so, why? When exactly? How can she best protect herself?

Follow this...

Pregnant women working

When dissection occurs during primary PCI

16 May 2023 – From EuroPCR 2023

Discover the complexities surrounding dissection during primary percutaneous coronary intervention (PCI). Immerse yourself in the challenges, implications and strategies employed to manage this critical scenario skillfully.

When dissection occurs during primary PCI

ACS: when a CABG is involved

16 May 2023 – From EuroPCR 2023

Managing ACS in patients who have previously undergone Coronary Artery Bypass Grafting surgery requires careful consideration of their medical history, previous surgical procedures, and potential challenges posed by the surgical alterations. Elevate your comprehension of their management by observing an extensive collection of illustrative scenarios faced...

ACS: when a CABG is involved

PCR's Got Talent - Round 1 - Session 2

16 May 2023 – From EuroPCR 2023

Did you participate in this session and want to enhance your memory? Take a look at the slides shared by the presenters and revisit the key points worth remembering.

Abstracts on CTO, STEMI and NSTEMI

A patient with NSTEMI and multivessel disease: culprit and non-culprit lesion management

16 May 2023 – From EuroPCR 2023

Follow the discussion around 2 specific cases, a 72-year-old ex-smoker female patient with HTN, hyperlipidemia, previous TIA, COPD and stable lung cancer, and a 44-year-old male patient with T2DM, HTN, dyslipidemia, psoriasis and chest pain, and learn how to treat NSTEMI with MVD.

A patient with NSTEMI and multivessel disease: culprit and non-culprit lesion management

Physiological assessment of epicardial vessels and the microcirculation

16 May 2023 – From EuroPCR 2023

Need a refresher on this case-based session focusing on the physiological assessment of epicardial vessels and microcirculation?  Check these slides highlighting some important studies on the subject.

Physiological assessment of epicardial vessels and the microcirculation

How can you determine the culprit lesion in NSTEMI?

16 May 2023 – From EuroPCR 2023

Since patients with NSTEMI represent an important population in practice, Ziad Ali and Natalia Pinilla discuss the diagnosis of culprit lesions in such patients. The first tool to rely on is intravascular imaging, even if imaging does not yet allow the interpretation of ambiguous or residual lesions....

How can you determine the culprit lesion in NSTEMI?

ECLS: technique of implantation and/or explantation of the cannula

14 Apr 2023

ECLS has become an important tool in the management of severe cardiogenic shock and refractory cardiac arrest, but is often complicated by bleeding ranging from nuisance to life-threatening. Therefore, deliberate management of the access site is of utmost importance.

Tobias Spangenberg

Author

Tobias Spangenberg
ECLS: technique of implantation and/or explantation of the cannula

A novel breakthrough in wrist-worn transdermal Troponin-I-Sensor assessment for acute myocardial infarction

23 Mar 2023

A transdermal-infrared spectrophotometric sensor (T-ISS) to assess troponins increase has been recently developed. This multicenter, observational study tested the feasibility of implementing this tool with machine learning analytics carried out in a cohort of patients presenting with acute coronary syndrome.

Reviewer

Salvatore Brugaletta
Giovanni Occhipinti

Reviewer

Giovanni Occhipinti
A novel breakthrough in wrist-worn transdermal Troponin-I-Sensor assessment for acute myocardial infarction

Essential drugs that every interventionalist needs to know

15 Dec 2022 – From GulfPCR-GIM 2022

In this GulfPCR-GIM 2022 session, learn about the role of PCSK9 inhibitors in ACS and post-PCI patients, the role of SGLT2 receptor blockers and GLP RAs, and the role of P2Y12 inhibitors as unique post-PCI antiplatelet agents.

Essential drugs that every interventionalist needs to know

Challenging ACS scenarios

14 Dec 2022 – From GulfPCR-GIM 2022

Topics in this GulfPCR-GIM 2022 session include the role of imaging in an unusual case of ACS in a young patient, PCI of an abnormal left coronary artery with AMI, embolisation of a thrombus in a non-culprit vessel during PCI in a late-presenting anterior STEMI, and...

Challenging ACS scenarios

First half of DK-Crush technique for bailout stenting of a true 0,0,1 bifurcation

09 Dec 2022

Stent implantation is largely debated in true 0,0,1 bifurcation lesion. This case shows bailout IVUS-guided stenting of a large diagonal branch after DEB-induced dissection, performed by employing the first half of the DK-Crush technique, thus avoiding stenting in the disease-free left anterior descending artery.

Giuseppe Andó

Author

Giuseppe Andó

Author

Marco Borgi

Author

Giulia Alagna
First half of DK-Crush technique for bailout stenting of a true 0,0,1 bifurcation

2-year outcomes of angiographic quantitative flow ratio-guided coronary interventions

23 Nov 2022

FAVOR-III China was an investigator-initiated, multicentre, randomised, blinded, sham-controlled trial comparing clinical outcomes of QFR versus angiography-guided strategies for the treatment of non-critical lesions in patients with stable or unstable angina, or MI, at least 72 hours prior to screening. The one-year results showed improved clinical...

Nicola Ryan

Reviewer

Nicola Ryan
2-year outcomes of angiographic quantitative flow ratio-guided coronary interventions

Aspirin vs Clopidogrel for chronic maintenance monotherapy after percutaneous coronary intervention: the HOST-EXAM extended study

08 Nov 2022

The HOST-EXAM trial1 was a prospective, randomised, open-label trial investigating clopidogrel monotherapy versus aspirin therapy in patients undergoing PCI with DES who had completed 6-18 months of DAPT with no ischaemic or bleeding complications. At 24 months follow-up, clopidogrel monotherapy significantly reduced the risk of the...

Nicola Ryan

Reviewer

Nicola Ryan
Aspirin vs Clopidogrel for chronic maintenance monotherapy after percutaneous coronary intervention: the HOST-EXAM extended study

A patient with ACS – how should I treat the left main?

31 Oct 2022

Take a virtual trip to Chennai, India for this first PCR Webinar on the Road.

A patient with ACS – how should I treat the left main?

Optical coherence tomography fractional flow reserve and cardiovascular outcomes in patients with acute coronary syndrome

18 Oct 2022

Optical Coherence Tomography fractional flow reserve (OCT-FFR) has been shown to correlate well with wire-based FFR; however, clinical outcomes based on OCT-FFR are not well defined. In this retrospective study, the authors sought to investigate the relationship between OCT-FFR and long-term clinical outcomes in ACS. 

Nicola Ryan

Reviewer

Nicola Ryan
Optical coherence tomography fractional flow reserve and cardiovascular outcomes in patients with acute coronary syndrome

Clinical cases - Coronary interventions - Session 8

07 Oct 2022 – From AICT-AsiaPCR 2022

Clinical cases - Coronary interventions - Session 4

07 Oct 2022 – From AICT-AsiaPCR 2022

Clinical cases - Coronary interventions - Session 5

07 Oct 2022 – From AICT-AsiaPCR 2022

Clinical cases - Coronary interventions - Session 1

06 Oct 2022 – From AICT-AsiaPCR 2022