BACKGROUND Hospitals with primary percutaneous coronary intervention (PPCI) capability may choose to predominately offer PPCI to their patients with ST-segment elevation myocardial infarction (STEMI), or they may selectively offer PPCI or fibrinolytic therapy based on patient and hospital-level factors. Whether a greater level of hospital specialization with PPCI is associated with better quali...

Background Whether upper arm remote ischemic postconditioning (RIPostC) exerts protection to kidney in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI) remains unknown. Methods Sixty-four patients with STEMI were randomized to PPCI + RIPostC (n=29) and PPCI (n=35) groups. RIPostC consisting of 4 cycles of 5 minutes occlusion...

OBJECTIVE Primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI) is insufficiently implemented in many countries. We investigated patient and hospital characteristics associated with PPCI utilisation. METHODS Whole country registry data (MINAP, Myocardial Ischaemia National Audit Project) comprising PPCI-capable National Health Service trusts in Engla...

Objectives: Primary percutaneous coronary intervention (PPCI) is the standard of care for ST-elevation myocardial infarction (STEMI) worldwide. Recommended by latest guidelines (1). In Pakistan only a handful centres offer PPCI services, many others rely on thrombolysis as reperfusion strategy STEMI patients which has been shown to be inferior primary PCI (2). our province facility even harder ...

ranges, and differences were analyzed with the Kruskal-Wallis method. Categorical variables were compared by the chi-square test or Fisher exact test. A total of 1,414 PPCI for STE-ACS were performed during the study period; in 77 patients, TH was used due to a comatose state after cardiac arrest. The access site for the PPCI was always femoral in the PPCI-TH group and was radial in 59% of the ...

Nielsen et al 1 report in Circulation the 7.8 years follow-up of the DANAMI-2 trial, showing that the benefit achieved with primary percutaneous coronary intervention (PPCI) over tissue plasminogen activator (tPA) in the acute phase was maintained throughout the follow-up. In addition, and for the first time, in the subgroup of patients admitted to referral hospitals a significant benefit in te...

Background—The Danish Acute Myocardial Infarction 2 (DANAMI-2) study found that primary angioplasty (primary percutaneous coronary intervention [pPCI]) compared with fibrinolysis reduced 30-day adverse events in patients with ST-segment elevation myocardial infarction. The present study investigated whether the benefit of pPCI was maintained at a long-term follow-up. Methods and Results—We rand...

OBJECTIVES Remote ischaemic conditioning (RIC) confers cardioprotection in patients with ST segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (pPCI). We investigated whether preinfarction angina and coronary collateral blood flow (CCBF) to the infarct-related artery modify the efficacy of RIC. DESIGN Post hoc subgroup analysis of a randomise...

BACKGROUND Clinical outcomes of patients with myocardial infarction are primarily determined by the successful restoration of myocardial reperfusion and the severity of coronary atherosclerosis. AIM To investigate the predictive value of Gensini score on ST-segment resolution (STR) in patients undergoing primary percutaneous coronary intervention (pPCI) for acute ST-elevation myocardial infar...