Posts Tagged ‘STEMI’

Thrombus Aspiration during ST-Segment Elevation Myocardial Infarction

Posted by • October 23rd, 2013

If there was a broken-down car on your street blocking traffic, would you rather hire a tow truck to remove it, or hire a bulldozer to smash it into smaller pieces?  Most people might pick the first option, but recent results of the TASTE trial (Thrombus Aspiration in ST-Elevation Myocardial Infarction in Scandinavia) suggest that… Read More…

Preventive Angioplasty in STEMI

Posted by • September 20th, 2013

Patients with acute STEMI were randomly assigned to undergo infarct-vessel-only PCI or preventive PCI (PCI to noninfarct arteries with stenoses). The rate of the primary outcome of cardiac death, myocardial infarction, or refractory angina was lower with preventive PCI. Patients with acute STEMI are effectively treated with emergency angioplasty, or PCI, to restore blood flow to… Read More…

Cardiac Arrest after MI

Posted by • September 13th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 52-year-old man was brought to the emergency department with chest pain and ST-segment elevation. Seconds after his arrival, cardiac arrest occurred. CPR was begun, and nine external countershocks were administered, without resolution. Management decisions were made. The 2013 STEMI guidelines indicate that primary percutaneous coronary… Read More…

Rivaroxaban in Patients with a Recent Acute Coronary Syndrome

Posted by • January 10th, 2012

Two centuries ago, in the first issue of the New England Journal of Medicine and Surgery and the Collateral Branches of Medical Science, physician John Warren described the understanding of angina in 1812: a disease that “is excited more especially upon walking up hill, and after a meal; that thus excited, it is accompanied with… Read More…