Late primary angioplasty (beyond 12 h): are we sure it should be avoided?
| العنوان: | Late primary angioplasty (beyond 12 h): are we sure it should be avoided? |
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| المؤلفون: | Leonardo Bolognese |
| المصدر: | European Heart Journal Supplements. 23:E36-E39 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Weight measurement scales, business.industry, medicine.medical_treatment, Ischemia, Primary angioplasty, Hemodynamics, Percutaneous coronary intervention, medicine.disease, surgical procedures, operative, Reperfusion therapy, Angioplasty, Internal medicine, Cardiology, Medicine, cardiovascular diseases, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Optimal management for patients with ST-segment elevation myocardial infarction (STEMI) who arrive at a hospital late remains uncertain since evidence and real-world data are limited. Patients who present late with a STEMI are a heterogeneous population, and the clinical decision regarding percutaneous coronary intervention (PCI) should not be the same for all. One randomized clinical trial, multiple mechanistic studies, and contemporary registries suggest a presumed benefit for a prompt restoration of coronary flow even in late presenting STEMI. Crucial elements in decision-making are the presence of haemodynamic or electrical instability, and ongoing ischaemic signs or symptoms to tip the scales toward PCI. Among clinically stable, late-presenting patients, myocardial viability assessment and functional testing can identify yet another subgroup that may benefit from late PCI |
| تدمد: | 1554-2815 1520-765X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fc42cd8794b3dbe3a5bf00c3d5565171 https://doi.org/10.1093/eurheartj/suab086 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....fc42cd8794b3dbe3a5bf00c3d5565171 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15542815 1520765X |
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