regardless of the clinical setting, a good back-up represents one of the most important conditions to ensure guide wire and balloon advancement and stent delivery. as a “mother and child” system, the guideliner catheter (vascular solutions inc., minneapolis, mn, usa) provides an extension to the guide catheter with better coaxial alignment and stability. we report two didactic cases showing the...

background: patients with chronic stable angina often have a state of sympathetic hyperactivity. it is considered associated with myocardial ischemia and disappears after ischemia elimination. the aim of this study was to investigate the changes in heart rate variability parameters, a noninvasive technique for the evaluation of the autonomic nervous system activity, after successful revasculari...

All guidelines recommend primary percutaneous coronary intervention as the default strategy for achieving reperfusion in ST-segment elevation myocardial infarction patients. These recommendations are based upon randomized trials which compared primary percutaneous coronary intervention with stand-alone intravenous fibrinolysis. Since the time these trials were performed, however, it has been sh...

ABSTRACT BACKGROUND Primary percutaneous coronary intervention represents one of the cornerstone management modalities for patients with acute ST-elevation myocardial infarction and has undergone tremendous growth over the past two decades. This study was aimed to determine the early clinical outcomes of primary percutaneous coronary interventions in a tertiary-level teaching hospital withou...

BACKGROUND Published meta-analyses comparing primary percutaneous coronary intervention with fibrinolytic therapy in patients with ST-segment-elevation myocardial infarction include only randomized controlled trials (RCTs). We aim to obviate the limited applicability of RCTs to real-world settings by undertaking meta-analyses of both RCTs and observational studies. METHODS AND RESULTS We incl...

Comparison of the Success Rate Treatment with Primary Percutaneous Coronary Intervention PCI versus Thrombolytic in Patients ST-Elevation Myocardial Infarction Local Hospitals Iran

BACKGROUND In the setting of primary percutaneous coronary intervention, patients with a chronic total occlusion in a non-infarct related artery were recently identified as a high-risk subgroup. It is unclear whether ST-elevation myocardial infarction patients with a chronic total occlusion in a non-infarct related artery should undergo additional percutaneous coronary intervention of the chron...

conclusions an adjuvant therapy with tlc diet and supplementation with q10 and lc seems to be required for secondary prevention following mi and pci. tlc diet and q10 plus lc appeared to be effective in inflammatory biomarkers of isr as well as ldl reduction. methods this single-blind randomized controlled trial was conducted on 128 subjects. after randomization for treatment allocation, the su...

Primary percutaneous coronary intervention (pPCI) with routine stenting of the culprit lesion has greatly improved short-term and immediate outcomes ST-elevation myocardial infarction (STEMI).

OBJECTIVE To determine the efficacy and safety of enoxaparin compared with unfractionated heparin during percutaneous coronary intervention. DESIGN Systematic review and meta-analysis. DATA SOURCES Medline and Cochrane database of systematic reviews, January 1996 to May 2011. STUDY SELECTION Randomised and non-randomised studies comparing enoxaparin with unfractionated heparin during perc...