ST-segment elevation myocardial infarction (STEMI)

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

Treating STEMI brings into play a series of clinical and organizational protocols in constant evolution. Today, patients presenting with STEMI are best treated by early reperfusion strategies of which primary PCI is the preferred method. Keep up-to-date on the role of adjunctive pharmacotherapy, advances in imaging techniques and the use of invasive imaging and functional assessment. Tools, devices and techniques as well as complications, such as the different types of vascular access or bleeding risk can be found here as well…

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STEMI

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How should I treat an inflated trapped intra-coronary balloon?

04 Apr 2018

A 73-year-old male presented with acute chest pain and ST segment elevation in the inferior leads. Angiography revealed an occlusion of the mid right coronary artery. A drug-eluting stent was deployed and post-dilated throughout with a non-compliant balloon. However, the deflated balloon could not be retracted and became trapped in the proximal RCA...

EuroIntervention

Direct oral anticoagulants in addition to antiplatelet therapy for secondary prevention after acute coronary syndromes

22 Mar 2018

Dejan Milasinovic

Reviewer

Dejan Milasinovic

Cardio Poll: How will the SMART DATE study results impact your clinical practice?

The recent SMART-DATE trial ultimately showed non-inferiority for MACE of 6 months vs. 12 months DAPT in ACS patients treated with current generation DES. Yet, myocardial infarction (a secondary endpoint) was increased by 1% in the short DAPT group and no difference for stent thrombosis and major bleeding was observed between the two treatment arms.

6-month versus 12-month or longer dual antiplatelet therapy after percutaneous coronary intervention in patients with acute coronary syndrome (SMART-DATE): a randomised, open-label, non-inferiority trial

15 Mar 2018

Daniele Giacoppo

Reviewer

Daniele Giacoppo

SMART-DATE: 6-month versus 12-month or longer DAPT after PCI in patients with acute coronary syndrome - a randomised, open-label, non-inferiority trial

13 Mar 2018

The SMART DATE trial presented at ACC1.8 and published simultaneously in the Lancet is yet another trial evaluating the duration of antiplatelet therapy in patients with acute coronary syndrome (ACS).

SECURE PCI: Loading Doses of Atorvastatin versus Placebo in Patients with ACS and planned revascularisation

12 Mar 2018

SECURE PCI evaluated if high dose of atorvastatin used before and after PCI might reduce cardiovascular events compared to placebo.

ODYSSEY Outcomes: Cardiovascular outcomes with alirocumab after acute coronary syndrome

11 Mar 2018

Patients with ACS experience adverse events despite guideline recommended care. This reiterates the need for additional therapy to address this problem in addition to standard care. Alirocumab in ODYSSEY Outcomes, the first trial conducted exclusively in ACS patients, provides promise with 15% reduction in MACE events.

Impact of treatment delay on mortality in ST-segment elevation myocardial infarction (STEMI) patients presenting with and without haemodynamic instability: results from the German prospective, multicenter FITT-STEMI trial

15 Feb 2018

Salvatore Brugaletta

Reviewer

Salvatore Brugaletta
Dejan Milasinovic

Reviewer

Dejan Milasinovic

High bleeding risk patients: from clinical evidence to routine practice

25 Jan 2018 - From ASIAPCR/SINGLIVE 2018

Chairpersons: P.J.L. Ong , P. Urban

Objectives: To understand the criteria for high bleeding risk patients and to identify these patients in clinical practice, to discuss how the latest cutting-edge clinical evidence gives physicians the freedom to treat high bleeding risk patients, to discuss tailoring DAPT duration to the needs of different patient populations.

LIVE case: PCI for a patient with Ostial LAD disease with high bleeding risk

From ASIAPCR/SINGLIVE 2018

Consult this LIVE case on PCI for a patient with Ostial LAD disease with high bleeding risk, that includes a LIVE demonstration from the National Heart Centre - Singapore: 63-year-old male.

Chee Tang Chin

Operator

Chee Tang Chin
Dr. Soo Teik Lim

Operator

Soo Teik Lim