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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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

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

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

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

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

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

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

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

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

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

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

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

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