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ST-elevation myocardial infarction (STEMI)

News
07/31/2019
“At the moment we don’t know why some patients react in this way. It is possibly linked to fear or anxiety. This should be a novel element in educating people about what to do when they have heart attack symptoms.”
“At the moment we don’t know why some patients react in this way. It is possibly linked to fear or anxiety. This should be a novel element in educating people about what to do when they have heart attack symptoms.”
“At the moment we don’t know why...
07/31/2019
Cath Lab Digest
02/03/2019

Cath Lab Digest talks with Mahir Elder, MD, Clinical Professor at Wayne State University School of Medicine, Detroit, Michigan; Clinical Professor at Michigan State University College of Osteopathic Medicine, East Lansing, Michigan.

Cath Lab Digest talks with Mahir Elde...
The ongoing opioid crisis in this country, along with the judicial use of morphine in patients with acute coronary syndrome, have created an environment where it is important to bring awareness to physicians and medical staff about morphine,...
The ongoing opioid crisis in this country, along with the judicial use of morphine in patients with acute coronary syndrome, have created an environment where it is important to bring awareness to physicians and medical staff about morphine,...
The ongoing opioid crisis in...
02/03/2019
Cath Lab Digest
01/31/2019

Michael R. Kendall, MD,1;  Stuart Swadron, MD2;  Leonardo C. Clavijo, MD, PhD1; Anilkumar K. Mehra, MD1;  Antotreas Hindoyan, MD1;  Ray V. Matthews, MD1;  David M. Shavelle, MD1

Michael R. Kendall, MD,1;  Stuart Swa...
The aim of the Code PE protocol was to: (1) rapidly identify patients with massive and submassive PE; and (2) triage appropriate patients directly to the CCL for endovascular treatment.
The aim of the Code PE protocol was to: (1) rapidly identify patients with massive and submassive PE; and (2) triage appropriate patients directly to the CCL for endovascular treatment.
The aim of the Code PE protocol...
01/31/2019
Cath Lab Digest
Clinical Editor's Corner
10/08/2018

Compiled by Morton J. Kern, MD, from conversations with Steven R. Bailey, MD, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas; James Blankenship, MD, Geisinger Cardiovascular Center for Clinical Research, Harrisburg, Pennsylvania; Kirk N. Garratt, MD, Christiana Care, Wilmington, Delaware; Mitchell W. Krucoff, MD, Duke University, Raleigh, North Carolina; Jeffrey Moses, MD, Columbia University, New York City, New York; Gregg W. Stone, MD, Columbia University, New York City, New York; Bonnie Weiner, MD, University of Massachusetts, Worchester, Massachusetts; Barry Uretsky, MD, University of Arkansas, Little Rock, Arkansas; Peter Ver Lee, MD, Bangor, Maine; Fred Welt, MD, Salt Lake City, Utah.

Compiled by Morton J. Kern, MD, from ...
For STEMI patients, what labs (e.g., glucose, electrolytes, lactate or pH) are being obtained prior to the patient going to the cath suite? More importantly, are POC labs being done in the emergency department prior to the STEMI patient going...
For STEMI patients, what labs (e.g., glucose, electrolytes, lactate or pH) are being obtained prior to the patient going to the cath suite? More importantly, are POC labs being done in the emergency department prior to the STEMI patient going...
For STEMI patients, what labs...
10/08/2018
Cath Lab Digest
Case Report
02/06/2018

Cath Lab Digest talks with Ankur Kalra, MD, FACP, FACC, FSCAI, Clinical Assistant Professor of Medicine (Cardiology), Case Western Reserve University School of Medicine; Structural Heart Interventional Cardiologist, Harrington Heart & Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio.

 
Cath Lab Digest talks with Ankur Kalr...
The entire duration of the case took almost 6 hours and we were not able to establish flow until the very last stent.
The entire duration of the case took almost 6 hours and we were not able to establish flow until the very last stent.
The entire duration of the case...
02/06/2018
Cath Lab Digest
Case Report
10/03/2017

William A. Crosland1, MD, Gautam Kumar1,2, MD
1Emory University, Atlanta, Georgia; 2Atlanta VA Medical Center, Decatur, Georgia

 

William A. Crosland1, MD, Gautam Kuma...
We present the case of a man who presented with an inferior STEMI that required RA for successful intervention of a heavily calcified right coronary artery (RCA).
We present the case of a man who presented with an inferior STEMI that required RA for successful intervention of a heavily calcified right coronary artery (RCA).
We present the case of a man who...
10/03/2017
Cath Lab Digest
Case Report
07/31/2017

Krzysztof Pawlowski, MD, Lukasz Lewicki, MD, PhD, Radoslaw Targonski, MD, PhD, Maciej Karwowski, MD, Pomorskie Centra Kardiologiczne, Gdansk, Poland

Krzysztof Pawlowski, MD, Lukasz Lewic...
This is an intriguing case of potential simultaneous plaque destabilization in two vascular beds. There are studies that suggest some patients have more than one unstable plaque in different vascular beds.(9) An embolic event should be...
This is an intriguing case of potential simultaneous plaque destabilization in two vascular beds. There are studies that suggest some patients have more than one unstable plaque in different vascular beds.(9) An embolic event should be...
This is an intriguing case of...
07/31/2017
Cath Lab Digest
Clinical Editor's Corner
01/11/2017

Morton Kern, MD
Clinical Editor; Chief of Medicine, 
Long Beach Veterans 
Administration Health Care 
System, Long Beach, California; 
Associate Chief Cardiology, 
Professor of Medicine, University of California Irvine, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD Clinical Editor; Chie...
The management of a patient with a large intracoronary thrombus during ST-elevation myocardial infarction (STEMI) or acute coronary syndromes (ACS) has remained troublesome and controversial.
The management of a patient with a large intracoronary thrombus during ST-elevation myocardial infarction (STEMI) or acute coronary syndromes (ACS) has remained troublesome and controversial.
The management of a patient with...
01/11/2017
Cath Lab Digest
Calcium Corner
01/10/2017

Cath Lab Digest talks with Joseph L. Thomas, MD, FACC, FSCAI, Director, Interventional Cardiology Fellowship Program, Associate Clinical Professor, UCLA School of Medicine, Harbor UCLA Medical Center, Los Angeles, California

Cath Lab Digest talks with Joseph L. ...
In many areas, STEMI and cardiac arrest care is delivered within regional systems organized in concert with pre-hospital emergency services. So, the expectation that shock is emergently managed and fixed in the cath lab is an increasing...
In many areas, STEMI and cardiac arrest care is delivered within regional systems organized in concert with pre-hospital emergency services. So, the expectation that shock is emergently managed and fixed in the cath lab is an increasing...
In many areas, STEMI and cardiac...
01/10/2017
Cath Lab Digest
Transradial Series
07/27/2016

Nathaniel R. Smilowitz, MD, John T. Coppola, MD, Sripal Bangalore, MD, MHA, Leon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, New York

This case is part of a series of transradial-focused reports directed by section editor Dr. Samir Pancholy. This case series is supported by an educational grant from Medtronic.

Nathaniel R. Smilowitz, MD, John T. C...
Here, we present a case of radial artery perforation during primary percutaneous coronary intervention for ST-elevation myocardial infarction that illustrates the optimal management of this rare vascular complication.
Here, we present a case of radial artery perforation during primary percutaneous coronary intervention for ST-elevation myocardial infarction that illustrates the optimal management of this rare vascular complication.
Here, we present a case of...
07/27/2016
Cath Lab Digest