Bivalirudin Started during Emergency Transport for Primary PCI
نویسندگان
چکیده
منابع مشابه
Bivalirudin started during emergency transport for primary PCI.
BACKGROUND Bivalirudin, as compared with heparin and glycoprotein IIb/IIIa inhibitors, has been shown to reduce rates of bleeding and death in patients undergoing primary percutaneous coronary intervention (PCI). Whether these benefits persist in contemporary practice characterized by prehospital initiation of treatment, optional use of glycoprotein IIb/IIIa inhibitors and novel P2Y12 inhibitor...
متن کاملBivalirudin during primary PCI in acute myocardial infarction.
BACKGROUND Treatment with the direct thrombin inhibitor bivalirudin, as compared with heparin plus glycoprotein IIb/IIIa inhibitors, results in similar suppression of ischemia while reducing hemorrhagic complications in patients with stable angina and non-ST-segment elevation acute coronary syndromes who are undergoing percutaneous coronary intervention (PCI). The safety and efficacy of bivalir...
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Bleeding is the most common complication after percutaneous coronary intervention (PCI) and has been shown to be a very significant adverse prognostic event, increasing short-term and longterm adverse outcomes. Access-site bleeding accounts for the majority of these hemorrhagic complications. Transradial access is associated with a very sizeable reduction in access-site-related bleeding. Patien...
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Following the recent publication of the PRAMI trial, the appearance of the article entitled ‘‘Multivessel approach in ST-elevation myocardial infarction: Impact on in-hospital morbidity and mortality’’ by Santos et al. in this issue of the Journal could not be more timely. The study analyzed a population of patients with ST-elevation myocardial infarction (STEMI) included in the Portuguese Regi...
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Objective: To explore the cause and emergency rescue of Ventricular Electrical Storm (VES) during primary PCI for patients with acute ST-Elevation Myocardial Infarction (STEMI). Method: Among 796 patients with STEMI undergoing primary PCI 39 patients (4.9%) who happened to the VES during PCI procedure were studied. The causes, the characteristics of the coronary artery lesions, DC shock and the...
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ژورنال
عنوان ژورنال: New England Journal of Medicine
سال: 2013
ISSN: 0028-4793,1533-4406
DOI: 10.1056/nejmoa1311096