Primary Angioplasty in Acute Myocardial Infarction (Contemporary Cardiology)

In the second edition of his widely acclaimed and definitive book, James Tcheng and a panel of authorities have thoroughly updated and revised the first edition with fresh perspectives and the latest scientific and clinical developments in primary percutaneous coronary intervention (PCI). This edition addresses the relentless movement toward stent implantation during PCI, while incorporating the latest long-term outcomes data from primary PCI literature. Revised chapters discuss the most up-to-date technical approaches to PCI and review recent clinical trials, while outlining the evidence for primary coronary intervention as the standard of care for any patient sustaining an acute myocardial infarction. New chapters provide a glimpse into the future, reviewing the promising new research regarding cell therapies that target the regeneration of myocardium following cell death. 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, 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, evaluating, and justifying a successful program. Comprehensive and highly practical, Primary Angioplasty in Acute Myocardial Infarction summarizes for today's cardiologists, internists, family practitioners, and emergency room physicians all the accumulated knowledge and experience needed to ensure that primary angioplasty becomes the standard of care for acute myocardial infarctions. Rationale And Lexicon Of Primary Angioplasty -- Operator And Site Requirements For Primary Angioplasty -- Primary Coronary Intervention For Acute Myocardial Infarction: Technical Approaches -- Primary Angioplasty (poba) Vs Thrombolysis: The Early 1990s Experience -- Rescue Percutaneous Coronary Intervention For Failed Thrombolysis -- Primary Angioplasty In Community Hospitals Without On-site Cardiac Surgery -- Drug Strategies For Angioplasty In Acute Myocardial Infarction -- Platelet Glycoprotein Iib/iiia Receptor Blockade In Primary Angioplasty -- Integrating Coronary Stents And Glycoprotein Iib/iiia Inhibitors Into A Mechanical Reperfusion Strategy: The Cadillac And Admiral Trials -- Health Economics Of Primary Percutaneous Transluminal Coronary Angioplasty. Edited By James E. Tcheng. Includes Bibliographical References And Index. Leading investigators and highly experienced clinicians collect and summarize the world's literature and augment this with practical wisdom concerning this critically important form of care, including its technical, professional, and administrative aspects. 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; the administrator will learn all the details of creating, maintaining, evaluating, and justifying a successful program. Collects and summarizes the world's literature and augment this with practical wisdom concerning this critically important form of care, including its technical, professional, and administrative aspects. This title covers the technique and technology of direct angioplasty, patient selection, regulatory issues, and performance metrics. Angiographic and pathologic studies have contributed greatly to our understanding of the pathogenesis of acute coronary syndromes.