ST-elevation myocardial infarction (STEMI)

News

News: You’re Having a Heart Attack. Why Not Ask for Help?

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...

07/31/2019

Cath Lab Digest

Strategies to Circumvent the Delayed Mechanism of Action of Oral Antiplatelets in the Cardiac Catheterization Lab

02/03/2019

Mahir D. Elder , MD, FACC, FSCAI, FASNC, FCCP, RPVI;

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

Use of the STEMI Team for Treatment of Patients With Pulmonary Embolism: A Pilot Study

01/31/2019

Leonardo C. Clavijo , MD, PhD;

Ray V. Matthews , MD;

Stuart Swadron , MD;

David M. Shavelle , MD, FACC, FSCAI;

Michael R. Kendall , MD;

Anilkumar K. Mehra , MD;

Antotreas Hindoyan , MD;

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

Conversations in Cardiology: Should We Wait for Labs Before Taking the STEMI Patient Directly to the Cath Suite?

10/08/2018

Morton J. Kern , MD, MSCAI, FACC, FAHA;

Jeffrey W. Moses , MD;

Barry F. Uretsky , MD;

Steven R. Bailey , MD;

Frederick G.P. Welt , MD;

Gregg W. Stone , MD, FACC, FSCAI;

James C. Blankenship , MD;

Bonnie H. Weiner , MD, MBA, FSCAI, FACC;

Peter Ver Lee , MD;

Mitchell W. Krucoff , MD;

Kirk N. Garratt , MD, MSc;

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

Challenging ST-Segment Elevation Myocardial Infarction With No-Reflow

02/06/2018

Ankur Kalra , MD, FACP, FACC, FSCAI;

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

“Stuck Between a Rock and a Hard Place”: Rotational Atherectomy in STEMI

10/03/2017

William A. Crosland , MD;

Gautam Kumar , MD, FSCAI;

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

Percutaneous Treatment of a Patient with Sjogren’s Syndrome Presenting with Simultaneous STEMI and Right Brachial Artery Occlusion

07/31/2017

Radoslaw Targoński , MD, PhD;

Krysztof Pawlowski , MD;

Lukasz Lewicki , MD, PhD;

Maciej Karwowski , MD;

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

Conversations in Cardiology: Thrombus Troubles During STEMI

01/11/2017

Morton J. Kern , MD, MSCAI, FACC, FAHA;

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

A Look at the IMPRESS Trial: Impella CP vs IABP in Acute MI Complicated by Cardiogenic Shock

01/10/2017

Joseph L. Thomas , MD, FACC, FSCAI;

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

Transradial Perforation During Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction

07/27/2016

John T. Coppola , MD, FACC, FSCAI;

Nathaniel R. Smilowitz , MD, MS;

Samir B. Pancholy , MD, FACP, FACC, FSCAI;

Sripal Bangalore , MD, MHA;

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