Primary Angioplasty in Acute Myocardial Infarction

by Tcheng, James E., M.D.

• ISBN13: 9781603274968
• ISBN10: 1603274960
• Edition: 2nd
• Format: Hardcover
• Copyright: 2008-12-02
• Publisher: Humana Pr Inc

Summary

The emergency treatment of acute myocardial infarction (AMI)-one of the leading causes of death throughout the world-with immediate cardiac catheterization and percutaneous coronary intervention, or primary angioplasty, is now considered the optimal approach to this deadly disorder. In Primary Angioplasty in Acute Myocardial Infarction, Second Edition, leading investigators and experienced clinicians collect and summarize the world's literature and augment this with practical wisdom concerning this critically important form of care. Technical, professional, and administrative aspects are reviewed in clear detail. Among the topics covered are the technique and technology of direct angioplasty, patient selection, regulatory issues, performance metrics, clinical trials and outcomes, adjunctive pharmacology, economics, and implications for the health care system. The practicing cardiologist will appreciate the many useful how-to tips and pointers; the cardiology fellow will value the a-to-z approach that addresses all critical issues; and the administrator will learn the details of creating, maintaining, evaluaing, and justifying a successful program.

Table of Contents

Overview, Rationale, and Lexicon: Primary Percutaneous Coronary Intervention in Acute Myocardial Infarction	p. 1
Comparison of Reperfusion Strategies for ST Elevation Acute Myocardial Infarction: Primary Coronary Intervention Versus Fibrinolysis	p. 9
Operator and Site Requirements for Primary Coronary Intervention	p. 27
Primary Coronary Intervention: The Technical Approach	p. 47
Primary Coronary Intervention in Community Hospitals with Off-Site Cardiac Surgery Backup: Rationale and Steps to Quality	p. 65
Reducing System and Process Barriers: The RACE to Improve Door to Balloon Performance	p. 85
Rescue Coronary Intervention for Failed Thrombolysis	p. 101
Facilitated Percutaneous Coronary Intervention	p. 115
Therapies Targeted at Preserving Microvascular Integrity and Preventing Reperfusion Injury	p. 135
Platelet Glycoprotein IIb/IIIa Receptor Blockade in Primary Coronary Intervention	p. 169
Cell Therapy in Acute Myocardial Infarction	p. 195
Health Economics of Primary PCI	p. 205
Subject Index	p. 215
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