Total Occlusion Late after Myocardial Infarction
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Course Details
Credit/contact hours: .25
Estimated time to complete: 15 minutes
Publication Date: May 10, 2018
Expiration date: May 9, 2027
Reviewed: May 9, 2024
Description:
It is well established the prompt reperfusion therapy within the first six hours of MI symptom onset can significantly reduce mortality and morbidity after MI, and reperfusion therapy with PCI/stenting or fibrinolysis is well established. However, it is not uncommon that a patient will undergo coronary angiography 12 or even 24 hours after MI, where a totally occluded artery is identified at that point in time. We present a case of such a patient and review a classic clinical trial that addresses this clinical situation.
Note: This course is eligible for ACPE credit.
You Will Learn
- To identify patients who present at later time points when reperfusion therapy is less well established
- To enumerate patient-specific considerations when considering PCI in patients presenting late after MI
- To appropriately apply the results of a classic clinical trial relating to this situation
- To consider the appropriate clinical guidelines as they apply to patients presenting late after MI