Complete Revascularization in STEMI, Early Clinical Benefits Are Still Plausible

Myocardial revascularization at extreems - Vojvodina STEMI network

Background In order to improve health care of patients with acute myocardial infarction, forming of a proper cardiological network in different parts of a particular region becomes a necessity. At our institute, we started to treat STEMI in cathlabs in April 2002. In the beginning this care has been utilized during the day, and after the 1. 12. 2008, we started with 24-hours practice, so at thi...

What Are the Objectives of Early Clinical Exposure?

Introduction: In recent decades, medical education has been following new approaches to early clinical exposure. This study was designed to determine early clinical exposure (ECE) objectives and their availability and importance from the participants’ viewpoint. Methods: In a descriptive study, 70 students who had participated in ECE at Isfahan Medical University were asked to complete a quest...

Complete revascularization in contemporary practice.

Randomized Trial of Complete Versus Lesion-Only Revascularization in Patients Undergoing Primary Percutaneous Coronary Intervention for STEMI and Multivessel Disease

BACKGROUND The optimal management of patients found to have multivessel disease while undergoing primary percutaneous coronary intervention (P-PCI) for ST-segment elevation myocardial infarction is uncertain. OBJECTIVES CvLPRIT (Complete versus Lesion-only Primary PCI trial) is a U.K. open-label randomized study comparing complete revascularization at index admission with treatment of the inf...

Culprit lesion-only versus complete revascularization in patients with STEMI: Lessons learned from PRAMI, CvLPRIT, and DANAMI-3 PRIMULTI

BACKGROUND Primary percutaneous coronary intervention (PCI) is the current standard of care for ST-elevation myocardial infarction (STEMI). About 40–50% of patients presenting with STEMI have multivessel disease (MVD). Compared to patients with single vessel disease, patients with STEMI and MVD have higher mortality rates and a greater incidence of non-fatal re-infarction. The underlying mechan...