ST-segment elevation myocardial infarction (STEMI)

Latest STEMI content in interventional cardiology - research, practice, and education

Treating STEMI brings into play a series of clinical and organisational 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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Developing STEMI networks in Africa

03 Mar 2023 – From AfricaPCR 2023

After a presentation of the Stent-Save a Life! programme, which supports the implementation of clinical practice guidelines on myocardial revascularisation, learn about the current situation of STEMI management in Africa, and more specifically in Angola, and analyze how the STEMI network could be set up in...

Developing STEMI networks in Africa

Nightmares during primary PCI: large thrombus burden management in an ectatic Left anterior Descending Coronary Artery

08 Dec 2022

A 61-year-old man was admitted to the catheterization laboratory for anterior STEMI. Coronary angiography revealed a large thrombus burden in an ectatic and occluded LAD. How would you treat this challenging case? 

Dario Bongiovanni

Author

Dario Bongiovanni
Antonio Landi

Author

Antonio Landi

Author

Francesco Loizzi
Marco Valgimigli

Author

Marco Valgimigli
Nightmares during primary PCI: large thrombus burden management in an ectatic LAD Coronary Artery

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

STEMI - Adjunctive pharmacotherapy

15 Dec 2022 – From GulfPCR-GIM 2022

This GulfPCR-GIM 2022 session will enable you to view a case of cardiogenic shock on anterior STEMI, as well as a complicated double-vessel intervention in inferior wall myocardial infarction with cardiogenic shock and acute LVF-PCI-RCA and LMCA-LAD, among others!

STEMI - Adjunctive pharmacotherapy

STEMI - Tools, devices and techniques

15 Dec 2022 – From GulfPCR-GIM 2022

Among the 4 GulfPCR-GIM 2022 cases presented in this session, discover a curious case of type 4 dual left anterior descending artery presenting with STEMI, or an inferior wall STEMI with complete heart block in anomalous right coronary artery.

STEMI - Tools, devices and techniques

How should I treat STEMI?

14 Dec 2022 – From GulfPCR-GIM 2022

In this GulfPCR-GIM 2022 session, watch a series of STEMI cases and learn more about left main stem, bifurcation, imaging, large thrombus situation, and cardiogenic shock in this particular context and follow the ensuing discussions to be better prepared if you were ever faced with it yourself.

How should I treat STEMI?

Distal vs conventional radial access for coronary angiography and/or intervention: a meta-analysis of randomized trials

30 Nov 2022

The present systematic review and meta-analysis by Ferrante et al aimed to provide a comprehensive quantitative analysis of the effects of DRA vs TRA, by pooling data from randomised controlled trials (RCT) comparing these two access sites when used for coronary angiography and/or percutaneous coronary intervention...

Reviewer

Aaysha Cader
Afonso Félix De Oliveira

Reviewer

Afonso Félix De Oliveira
Distal vs conventional radial access for coronary angiography and/or intervention: a meta-analysis of randomized trials

A leaking left main or a leaking stent shaft !?

23 Nov 2022

Contrast staining during coronary angioplasty is an ominous sign, usually indicating deep artery wedging by the guide catheter, or vessel dissection / perforation. The author presents an unusual cause of LMCA staining during primary LAD PCI.

Sreevatsa Nadig

Author

Sreevatsa Nadig
A leaking left main or a leaking stent shaft !?

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

BRIGHT-4 – Bivalirudin plus a high-dose infusion versus heparin monotherapy in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention: a randomised trial

07 Nov 2022

Nicola Ryan provides her take on the BRIGHT-4 study, which was presented during AHA 2022 in Chicago, & simultaneously published in the Lancet.

This study was a randomised control trial designed to assess if bivalirudin plus a high dose infusion for 2-4 hours post PPCI was superior to unfractionated...

Nicola Ryan

Author

Nicola Ryan
BRIGHT-4 – Bivalirudin plus a high-dose infusion versus heparin monotherapy in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention: a randomised trial