State-of-the-art and future perspective of percutaneous interventions for the management of STEMI

ABSTRACT Ischemic heart disease is the most common cause of death worldwide. In patients with ST-segment elevation myocardial infarction (STEMI), optimizing primary percutaneous coronary intervention is crucial to improve prognosis. Over the years, many studies have been published on the value of se...

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Main Authors: Luis Ortega-Paz, Salvatore Brugaletta, Manel Sabaté
Format: Article
Language:English
Published: Permanyer 2021-08-01
Series:REC: Interventional Cardiology (English Ed.)
Subjects:
Online Access:https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=626
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author Luis Ortega-Paz
Salvatore Brugaletta
Manel Sabaté
author_facet Luis Ortega-Paz
Salvatore Brugaletta
Manel Sabaté
author_sort Luis Ortega-Paz
collection DOAJ
description ABSTRACT Ischemic heart disease is the most common cause of death worldwide. In patients with ST-segment elevation myocardial infarction (STEMI), optimizing primary percutaneous coronary intervention is crucial to improve prognosis. Over the years, many studies have been published on the value of second-generation stents, strategies to reduce myocardial damage, how to achieve complete revascularization and also on percutaneous mechanical circulatory support devices, which all are attractive therapeutic options to treat patients with STEMI complicated by cardiogenic shock. In this review we will be discussing how primary percutaneous coronary intervention can be optimized with respect to stent selection and revascularization strategy to reduce myocardial damage and improve clinical outcomes. In addition, we review published data on the use of mechanical circulatory support devices in patients with STEMI complicated by cardiogenic shock.
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spelling doaj.art-97abb6aef95f477c8d1d82a3ef34d2752022-12-21T18:46:41ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222021-08-013320421210.24875/RECICE.M21000204State-of-the-art and future perspective of percutaneous interventions for the management of STEMILuis Ortega-Paz0Salvatore Brugaletta1Manel Sabaté2Servicio de Cardiología, Hospital Clínic, Institut Clínic Cardiovascular, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainServicio de Cardiología, Hospital Clínic, Institut Clínic Cardiovascular, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainServicio de Cardiología, Hospital Clínic, Institut Clínic Cardiovascular, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainABSTRACT Ischemic heart disease is the most common cause of death worldwide. In patients with ST-segment elevation myocardial infarction (STEMI), optimizing primary percutaneous coronary intervention is crucial to improve prognosis. Over the years, many studies have been published on the value of second-generation stents, strategies to reduce myocardial damage, how to achieve complete revascularization and also on percutaneous mechanical circulatory support devices, which all are attractive therapeutic options to treat patients with STEMI complicated by cardiogenic shock. In this review we will be discussing how primary percutaneous coronary intervention can be optimized with respect to stent selection and revascularization strategy to reduce myocardial damage and improve clinical outcomes. In addition, we review published data on the use of mechanical circulatory support devices in patients with STEMI complicated by cardiogenic shock.https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=626ST-segment elevation myocardial infarction Percutaneous coronary intervention Drug-eluting stent Cardiogenic shock
spellingShingle Luis Ortega-Paz
Salvatore Brugaletta
Manel Sabaté
State-of-the-art and future perspective of percutaneous interventions for the management of STEMI
REC: Interventional Cardiology (English Ed.)
ST-segment elevation myocardial infarction
Percutaneous coronary intervention
Drug-eluting stent
Cardiogenic shock
title State-of-the-art and future perspective of percutaneous interventions for the management of STEMI
title_full State-of-the-art and future perspective of percutaneous interventions for the management of STEMI
title_fullStr State-of-the-art and future perspective of percutaneous interventions for the management of STEMI
title_full_unstemmed State-of-the-art and future perspective of percutaneous interventions for the management of STEMI
title_short State-of-the-art and future perspective of percutaneous interventions for the management of STEMI
title_sort state of the art and future perspective of percutaneous interventions for the management of stemi
topic ST-segment elevation myocardial infarction
Percutaneous coronary intervention
Drug-eluting stent
Cardiogenic shock
url https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=626
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AT manelsabate stateoftheartandfutureperspectiveofpercutaneousinterventionsforthemanagementofstemi