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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Bibliographic Details
Published in:REC, Interventional cardiology (Internet. English ed.) Interventional cardiology (Internet. English ed.), 2021-07, Vol.3 (3), p.204-212
Main Authors: Ortega-Paz, Luis, Brugaletta, and, Salvatore, Sabaté, Manel
Format: Article
Language:English
Subjects:
Cardiogenic shock
Drug-eluting stent
Percutaneous coronary intervention
ST-segment elevation myocardial infarction
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Summary: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.
ISSN:2604-7322
2604-7322
DOI:10.24875/RECICE.M21000204