Hospital Medicine

Interventional Cardiology

Questions discussed in this category

What is your preferred anticoagulation/antiplatelet regimen for younger patients presenting with ACS, found to have an acute thrombotic event requiring aspiration thrombectomy without need for stent deployment?

2 Answers available

In light of recent trials evaluating NPO before cath (CHOW NOW, SCOFF, etc.) are centers still restricting oral intake pre-procedure?

4 Answers available

For patients presenting with ACS and severe aortic stenosis with critical left main disease, would you consider BAV prior to PCI to the left main?

2 Answers available

In patients presenting with ACS and multivessel disease, when do you favor immediate versus delayed complete revascularization?

If delayed complete revascularization is favored, would you consider staged PCI during that same admission or PCI outpatient?

4 Answers available

Should bare metal stents be favored over drug eluting stents for pregnant patients presenting with acute coronary syndrome?

1 Answer available

How do you decide between opting for semi-elective outpatient versus inpatient TAVR for patients with severe critical AS?

1 Answer available

Following left main bifurcation stenting, do you routinely proceed with kissing balloon inflation of the side branch, either LCx or LAD?

7 Answers available

Do you recommend routine use of protamine for hemostasis at the end of a transfemoral TAVI?

1 Answer available

Do shorter door-to-balloon (D2B) times impact outcomes in STEMI, if it's already less than 90 minutes, and to what degree (i.e., 30 vs 60 minutes would have a more significant impact)?

1 Answer available

How do you decide between administering or deferring upstream P2Y12 inhibitor treatment until patient is in the lab for NSTEMI or STEMI cases with unknown coronary anatomy?

2 Answers available

How do you approach revascularization in patients over 75 years with NSTEMI, given recent evidence from the SENIOR-RITA trial that an invasive strategy does not significantly reduce cardiovascular events compared to a conservative strategy?

Kunadian, et al., PMID 39225274

1 Answer available

What is your approach to using beta-blockers in patients with acute myocardial infarction with preserved LV ejection fraction who undergo early coronary angiography in light of the REDUCE-AMI trial findings?

REDUCE-AMI trial

2 Answers available

Would you recommend normal saline for pre- and post-LHC hydration in patients with CKD stage III to IV with reduced LV systolic function, and if so, what is a reasonable amount of volume?

2 Answers available

What is your intraprocedural approach to reducing time to reperfusion in STEMI cases: opting for culprit lesion PCI first then complete angiography, or complete angiography followed by culprit lesion PCI?

Levi et al., PMID 38551563

2 Answers available

When pursuing complex PCI of the RCA (especially when lesion preparation is required), when do you consider placing a transvenous pacemaker in anticipation of conduction abnormalities?

5 Answers available

Do you prefer a loading dose of 300mg or 600mg plavix for patients presenting with NSTEMI or unstable angina about to undergo LHC?

Does your preferred dose change if this were in a non-ACS setting with elective outpatient PCI?

2 Answers available

What is a reasonable hemoglobin goal for patients with chronic anemia presenting with acute MI?

1 Answer available

Papers discussed in this category

Eur Heart J,

2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy.

The New England journal of medicine, 2023 Aug 27

Timing of Complete Revascularization with Multivessel PCI for Myocardial Infarction.

The New England journal of medicine, 2019-10-10

Complete Revascularization with Multivessel PCI for Myocardial Infarction.

The New England journal of medicine, 2023 Nov 11

Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia.

The New England journal of medicine, 2013-09-05

Door-to-balloon time and mortality among patients undergoing primary PCI.

Lancet (London, England), 2014-05-24

Haemodynamic-guided fluid administration for the prevention of contrast-induced acute kidney injury: the POSEIDON randomised controlled trial.

The New England journal of medicine, 2024 Sep 01

Invasive Treatment Strategy for Older Patients with Myocardial Infarction.

Hospital Medicine

Interventional Cardiology

Questions discussed in this category

Papers discussed in this category

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