Mechanical Reperfusion for STEMI : From Randomized Trials to Clinical Practice

As a leading cause of death in developed countries, ST-segment elevation myocardial infarction and its various treatment options are of great concern to those in the cardiology field. This text presents evidence-based chapters that supply clinicians with real-life situations and strategies to treat STEMI patients more effectively and at a quicker pace. A highly illustrated and fully referenced source, this comprehensive text provides both a scientific background and a practical overview of the invasive management of STEMI patients. � Read more... Abstract: As a leading cause of death in developed countries, ST-segment elevation myocardial infarction and its various treatment options are of great concern to those in the cardiology field. This text presents evidence-based chapters that supply clinicians with real-life situations and strategies to treat STEMI patients more effectively and at a quicker pace. A highly illustrated and fully referenced source, this comprehensive text provides both a scientific background and a practical overview of the invasive management of STEMI patients Content: I: Rationale and Organizational Aspects. 1. Primary Angioplasty vs Thrombolysis: An Overview of Randomized Trials and Registry Data. 2. Which Patient Should Be Transferred for Primary PCI? 3. Pharmacological Facilitation in Primary Angioplasty: Myth or Reality? 4. How to Organize Networks for Invasive Treatment of STEMI: Krakow Experience. Zwolle Experience. Linkoping Experience. Experience in the USA. Experience in Asia. 5. Failed Thrombolysis: Rescue Angioplasty or Conservative Therapy? 6. Primary PCI in Cardiogenic Shock and Out-of-Hospital Cardiac Arrest. II: Adjuncitve Pharmacotherapy. 7. Oral Antiplatelet Therapy. 8. Gp IIb-IIIa Inhibitors. 9. Anticoagulation Therapy. III: Technical Aspects. 10. Balloon Angioplasty or BMS? 11. Drug-Eluting Stent: Weighing Costs and Benefits. 12. Mechanical Prevention of Distal Embolization: Rationale and Trial Results. 13. Distal Protection Devices: Tips and Tricks. 14. Thrombectomy Devices: Tips and Tricks. 15. Proximal Devices: Tips and Tricks. 16. Haemodynamic Support in High-Risk Patients. 17. Limitation of Infarct Size: Adjunctive Mechanical Devices. 18. Radial Approach. 19. OCT, IVUS and Angioscopy. IV: Redefining the Success of Mechanical Reperfusion. 20. ST-Segment Resolution. 21. Myocardial Blush Grade and cTFC. 22. Doppler Flow-Wire. 23. MRI. 24. Contrast Echocardiography. 25. Nuclear Techniques. V: Special Issues. 26. Bleeding Complications: Prognostic Implications, Prevention and Management. 27. Contrast Induced Nephropathy: Prognostic Implications, Prevention and Management. VI: A Glimpse into the Future. 28. Myocardial Regeneration. 29. Early Discharge after Primary PCI. VII: Guidelines. 30. ACC/AHA and ESC Guidelines.