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Tag Archives: ST-elevation myocardial infarction (STEMI)

November 2023 Br J Cardiol 2023;30:149 doi:10.5837/bjc.2023.037

Stent, balloon and hybrid in de novo PCI: could the whole be greater than the sum of its parts?

Pitt O Lim

Abstract

Introduction Dr Pitt O Lim, Consultant Cardiologist The use of drug-coated balloon (DCB) in de novo coronary artery disease has seeped through into routine practice in recent years.1 Largely unnoticed by the mainstream community, ignored by multi-national device companies and rarely discussed at international meetings. Its development actually parallels that of first-generation drug-eluting stent (DES) from the early 2000s; pioneered, propagated and instructed by expert German operators.2,3 Its efficacy is proven for in-stent re-stenosis (ISR),4 small vessel disease,5,6 high-risk bleeder,7 and where stenting might be avoided, such as in Takay

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July 2023 Br J Cardiol 2023;30:113–6 doi:10.5837/bjc.2023.020

The usefulness of initial serum ferritin level as a predictor of in-hospital mortality in STEMI

Mahmoud Abdelnabi, Abdallah Almaghraby, Juthipong Benjanuwattra, Yehia Saleh, Rawan Ghazi, Ahmed Abd El Azeem

Abstract

Introduction Ferritin is an essential protein in iron metabolism that reflects body iron homeostasis and is considered a biomarker for inflammation. The clinical significance of serum ferritin levels resides in its strong correlation with adverse outcomes in the general population and patients with various pathological conditions. In this regard, both low and high ferritin values were associated with all-cause mortality in some general population studies.1 Regarding cardiovascular morbidity and mortality, different studies showed that a high serum ferritin level is associated with a higher rate of all-cause and cardiovascular mortality.2,3 Be

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January 2022 Br J Cardiol 2022;29:36–40 doi:10.5837/bjc.2022.004

Effect of the COVID-19 pandemic on ST-elevation myocardial infarction presentation and survival

Sachintha Perera, Sudhir Rathore, Joanne Shannon, Peter Clarkson, Matthew Faircloth, Vinod Achan

Abstract

Introduction Delays in treatment following ST-elevation myocardial infarction (STEMI) influence patient outcomes. During the first wave of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) pandemic, delays in treatment may have altered outcomes of STEMI patients, even in those not infected by COVID-19. On 11 March 2020, the World Health Organisation declared COVID-19 a global pandemic.1 The UK government mandated social distancing on 16 March 2020, and imposed a nationwide lockdown on 23 March 2020.2 Primary percutaneous coronary intervention (PCI) remained our centre’s treatment of choice for STEMI, with thrombolys

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December 2020 Br J Cardiol 2020;27:126–8 doi:10.5837/bjc.2020.037

Timely discharge of low-risk STEMI patients admitted for primary PCI in an Essex cardiothoracic centre

Izza Arif, Rajender Singh

Abstract

Introduction According to the British Heart Foundation (BHF), in the UK there are more than 100,000 hospital admissions each year due to ST-elevation myocardial infarction (STEMI), equating to 280 admissions each day, or one every five minutes.1 The Essex cardiothoracic centre (CTC) is a tertiary, state-of-the-art centre that is equipped to deal with these high-risk cases. There are five district hospitals covered by the Essex CTC to provide a primary percutaneous coronary intervention (PCI) service. The patient turnover is high and there are emergency and elective procedures undertaken every day. The discharge of patients needs to be timely

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October 2019 Br J Cardiol 2019;26:159–60 doi:10.5837/bjc.2019.037

Atypical presentation of STEMI with pericardial effusion causing cardiac tamponade related to malignancy

Matthew J Johnson, Rohan Penmetcha

Abstract

Introduction Cardiac tamponade and myocardial infarction (MI) are rare as the initial presentation of a malignancy. Lung cancer is among the most common sites from which cardiac metastases arise.1,2 The majority of cases of neoplastic pericardial disease are not detected or diagnosed antemortem due to the usual lack of clinical symptoms.3 Cardiac metastases most commonly occur between ages 50 and 70 years, notably via lymphatic and haematogenous dissemination.4,5 Tumour cells also have the ability to activate the coagulation system causing a prothrombic or hypercoagulable state to develop throughout the course of malignancy.6 Case A 57-year-o

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Thrombus aspiration in primary percutaneous coronary intervention: to use or not to use?

December 2018 Br J Cardiol 2018;25:152–6 doi:10.5837/bjc.2018.032

Thrombus aspiration in primary percutaneous coronary intervention: to use or not to use?

Telal Mudawi, Mohamed Wasfi, Darar Al-Khdair, Muath Al-Anbaei, Assem Fathi, Nikolay Lilyanov, Mohammed Elsayed, Ahmed Amin, Dalia Besada, Waleed Alenezi, Waleed Shabanh

Abstract

Figure 1. A thrombus aspiration catheter Introduction The use of thrombus aspiration in primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI) has been subject to intense scrutiny and debate over the last decade. Clinical trials have been undertaken, using varying randomisation methodologies, aiming to objectively quantify the impact of the practice, while several subsequent meta-analyses have been conducted with conflicting results. Uncertainty remains and no exclusive guidance has been internationally agreed regarding the definitive usefulness, or otherwise, of the practice. The use of thrombectomy

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