BACKGROUND Reperfusion therapy with percutaneous coronary intervention (PCI) is the preferred method for treatment of STEMI if it can be done in a timely manner in a high volume center. The present study aimed to evaluate the correlation between total PCI volume, emergency PCI volume, elective PCI volume, mean door-to-balloon (DTB) time and in-hospital mortality of patients with STEMI treated w...

Background Accurate diagnosis of ST elevation myocardial infarction (STEMI) is complicated by the presence of mimickers such as pericarditis, one of the most common reasons for (negative) emergency cardiac catheterization. Beyond common electrocardiogram (ECG) criteria for pericarditis, a rule of ST segment elevation in lead II greater than lead III (II > III), has been described in literatures...

We read with great interest the article by Caluza et al. “ST-Elevation myocardial infarction network: systematization in 205 cases reduced clinical events in the public health care system”. The creation of regionalized STEMI care networks, integrating different levels of complexity, reduces time interval until treatment, including door-to-needle and door-to-balloon time and increases the propor...

OBJECTIVE A meta-analysis of all randomised controlled studies that compare outcomes of transradial versus the transfemoral route to better define best practice in patients with ST elevation myocardial infarction (STEMI). DESIGN A Medline and Embase search was conducted using the search terms 'transradial,' 'radial', 'STEMI', 'myocardial' and 'infarction'. SETTING Randomised controlled stud...

Acute coronary syndrome is a common cause of presentation to hospital. ST segment elevation on an electrocardiogram (ECG) is likely to be cardiac in origin, but in low-risk patients other causes must be ruled out. We describe a case of a man with hypercalcaemia, no evidence of cardiac disease, and ECG changes mimicking acute myocardial infarction. These ECG changes resolved after treatment of t...

OBJECTIVES This study proposed to verify the prognostic power of early ST segment elevation resolution in patients with acute myocardial infarction from the Intravenous Streptokinase in Acute Myocardial Infarction study data base. BACKGROUND Data from a small prospective study suggested that use of two cutoff points for three different levels of ST segment resolution 3 h after the start of th...

We report the case of a 33-years-old woman, smoker and taking oral contraceptives, who presented to the emergency room with an anterior ST-elevation myocardial infarction. Thrombolytic treatment was initiated and a few minutes after, chest pain returned and an inferior ST-segment-elevation infarction was diagnosed at that moment. Catheterization revealed multiple embolic occlusion of coronary b...

Exercise-induced ST-segment elevation was correlated with myocardial perfusion abnormalities and coronary artery obstruction in 35 patients. Ten patients (group 1) developed exercise ST elevation in leads without Q waves on the resting ECG. The site of ST elevation corresponded to both a reversible perfusion defect and a severely obstructed coronary artery. Associated ST-segment depression in o...

Background: To investigate the predictive value of age, creatinine, and ejection fraction (ACEF) score for cardiac death in patients aged ≥75 years diagnosed with acute ST-segment elevation myocardial infarction (STEMI) at 1 month year after emergency percutaneous coronary intervention (PCI).

Cardiogenic shock remains the major cause of death among patients with all types of acute coronary syndromes. Thus, there is a growing interest in the identification of patients who are at risk for developing cardiogenic shock, in the exploration of different therapeutic approaches to preventing its development, and in the improvement of outcome when it occurs. This article reviews the aetiolog...