Management of patients after primary percutaneous coronary intervention for myocardial infarction

@article{Dalal2017ManagementOP,
  title={Management of patients after primary percutaneous coronary intervention for myocardial infarction},
  author={Fatima Dalal and Hasnain M. Dalal and Christos Voukalis and Manish M. Gandhi},
  journal={British Medical Journal},
  year={2017},
  volume={358}
}
#### What you need to know For those who present with an acute ST elevation myocardial infarction (STEMI) in the UK, nearly 90% are treated with a primary angioplasty within 90 minutes of arrival at hospital.1 One out of every seven deaths is due to coronary heart disease, with one person having a “heart attack” every 40 seconds, based on US data.2 In the UK, 288 per 100 000 people visit hospital with a suspected heart attack each year.3 Patients are usually discharged three days after… 
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10 Citations
Background Citations
1
Results Citations
1

10 Citations

Further points to consider after primary percutaneous coronary intervention
TLDR
The management of patients who have had primary percutaneous coronary intervention for myocardial infarction is summarized, but what drug should be used and at what dose is not mentioned.
Comprehensive analysis of predictive factors for rapid angiographic stenotic progression and restenosis risk in coronary artery disease patients underwent percutaneous coronary intervention with drug‐eluting stents implantation
This study aimed to explore the correlation of baseline, procedural, and postprocedure characteristics with the risk of rapid angiographic stenotic progression (RASP) and restenosis in coronary…
Gastrointestinal protection with dual antiplatelet therapies
  • I. Beales
  • Medicine, Biology
    British Medical Journal
  • 2018
TLDR
Dalal and colleagues provide a concise update on the pharmacological and behavioural management of patients after a myocardial infarction, which is associated with poorer prognosis in this patient population.
Primary care management following an acute myocardial infarction
TLDR
David Warriner and Mohanned Al-Matok explain how to treat a patient who has returned from acute care and how to diagnose and treat patients who have returned from intensive care.
Authors’ reply to Sharvill and Beales
We thank Sharvill and Beales for drawing attention to gastroprotection for dyspepsia associated with dual antiplatelet therapy and a higher bleeding risk in elderly people, which we referred to in…
The role of perseverative negative thinking in predicting depression, anxiety and quality of life in people with coronary heart disease.
............................................................................................................................................. 2 ACKNOWLEDGEMENTS…
An advanced nurse-led clinic for patients following percutaneous coronary intervention
TLDR
The post-PCI clinic is described and an overview of the patient profile and outcomes over a 2-year period is provided, with an emphasis on advanced nursing roles and patient symptoms.
MiR-134-5p Regulates Myocardial Apoptosis and Angiogenesis by Directly Targeting KDM2A After Myocardial Infarction.
TLDR
Research revealed that knockdown of miR-134-5p increased KDM2A expression, thereby suppressing myocardial apoptosis and promotingMyocardial angiogenesis.
Continuity of care and its associations with self-reported health, clinical characteristics and follow-up services after percutaneous coronary intervention
TLDR
Risk factors for sub-optimal continuity were identified and action should be taken to educate patients, reconcile discharge plans and organise post-discharge services.
Impact of cardiac rehabilitation on cardiac mortality.

References

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