Clinical Guide to Primary Angioplasty

Primary angioplasty is a life-saving, minimally invasive emergency procedure increasingly used in the treatment of acute myocardial infarction. As the procedure further proves its effectiveness, it is imperative that all cardiologists have a comprehensive understanding of the major issues surrounding primary angioplasty. This easy-to-use, clinically focused text is an essential reference for those hoping to achieve this understanding. A valuable educational tool, this text fully explores the vital concepts of primary angioplasty.

Epidemiology and Historical Perspectives, Prehospital Diagnosis and Management of Acute Myocardial Infarction; Presentation of AMI-Symptoms, Examination, Biomarkers, and Atypical Presentations, The Definition of Myocardial Infarction, Optimal Reperfusion Therapy: Clinical Trial Evidence of Primary Angioplasty and (Prehospital) Fibrinolysis; Adjunctive Pharmacologic Therapies:Steg Primary Percutaneous Coronary Intervention: Role of Stenting versus Balloon Angioplasty and Drug-Eluting Stents versus Bare Metal Stents: Trial Evidence and Current Concepts; Primary Percutaneous Coronary Intervention: Culprit-Lesion Only versus Multivessel Intervention; Management of Mechanical Complications of Myocardial Infarction: Ventricular Septal Defect, Mitral Regurgitation, Free-Wall Rupture; Primary Coronary Angioplasty: The Role of Mechanical Circulatory Support; Primary Angioplasty:Methods of Reducing Infarct Size and Reperfusion Injury; Primary Angioplasty: The Importance of Time to Reperfusion, Door to Balloon Times, and How to Reduce Them; Systems of Care for Primary Percutaneous Coronary Intervention; Utilization of Facilitated and Rescue Angioplasty; Opportunities and Challenges of Stem Cell Therapy: Is there a Role in AMI?; Primary Angioplasty in Health Care Delivery: The European Model; Primary Angioplasty in Health Care Delivery: The North American Model; Primary Angioplasty in Health Care Delivery: The Economics; Special Management of Diabetic Patients with STEMI; Role of Surgery in Acute Myocardial Infarction;

Stephen Brecker, Martin Rothman