BACKGROUND Emergent myocardial reperfusion via primary percutaneous coronary intervention is optimal care for patients presenting with ST-segment elevation myocardial infarction (STEMI). Delays in such interventions are associated with increases in mortality. With the shift in focus to contact-to-device (C2D) time as a new perfusion metric, this study was designed to examine how sex affects C2D...

Primary percutaneous coronary intervention in ST-segment elevation myocardial infarction Early reperfusion of an infarct-related artery in acute STEMI improves survival. Primary PCI is the preferred reperfusion strategy in STEMI if it can be performed rapidly and by experienced operators [1,2]. In an ideal world, all patients with STEMI would be offered immediate primary PCI given its superiori...

AIMS It is widely thought that ST-elevation myocardial infarction (STEMI) is more likely to occur without warning (i.e. an unanticipated event in a previously healthy person) than non-ST-elevation myocardial infarction (NSTEMI), but no large study has evaluated this using prospectively collected data. The aim of this study was to compare the evolution of atherosclerotic disease and cardiovascul...

BACKGROUND Older women presenting with ST-segment elevation myocardial infarction (STEMI) are less likely to receive revascularization and have worse outcomes relative to their male counterparts. OBJECTIVES This study sought to determine temporal trends and sex differences in revascularization and in-hospital outcomes of younger patients with STEMI. METHODS We used the 2004 to 2011 Nationwi...

BACKGROUND Tako-tsubo cardiomyopathy (TTC) is an uncommon transient cardiomyopathy with a clinical and electrocardiographic (ECG) presentation similar to that of ST-elevation myocardial infarction (STEMI). AIM To compare clinical presentation, in-hospital course, and long-term outcomes in TTC female patients with on-admission ST-segment elevation and anterior STEMI female patients. METHODS ...

BACKGROUND Recently, a chronic total occlusion (CTO) in a non-infarct-related artery (non-IRA) and not multivessel disease (MVD) alone was identified as an independent predictor of mortality after ST elevation myocardial infarction (STEMI). Patients with diabetes mellitus (DM) constitute a patient group with a high prevalence of MVD and high mortality after STEMI. The prevalence of CTO in a non...

BACKGROUND Timely reperfusion in ST-segment elevation myocardial infarction (STEMI) patients improves clinical outcomes. Implementing strategies to target institutional-specific delays are crucial for improved patient care. METHODS AND RESULTS Using a novel strategy to analyze specific components of door-to-balloon time (DBT) at our institution, we previously identified several specific inter...

Background—Timely reperfusion in ST-segment elevation myocardial infarction (STEMI) patients improves clinical outcomes. Implementing strategies to target institutional-specific delays are crucial for improved patient care. Methods and Results—Using a novel strategy to analyze specific components of door-to-balloon time (DBT) at our institution, we previously identified several specific interva...

Acute coronary syndromes are usually classified on the basis of the presence or absence of ST elevation on the ECG: ST-elevation myocardial infarction or non-ST-elevation myocardial infarction (NSTEMI)patients with acute myocardial infarction (AMI) need immediate therapy, without unnecessary delay and primary percutaneous coronary intervention (PPCI) should preferably be performed within 90 min...