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Primary Coronary Intervention for Acute Myocardial Infarction

Technical Approaches

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Primary Angioplasty in Acute Myocardial Infarction

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

For most operators, performing percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) presents a challenge that has the potential to greatly benefit patients at risk for significant mortality. Little doubt exists that primary as well as rescue PCI lower mortality and lessen morbidity compared to thrombolytic therapy (1–4). In the past decade, according to the National Registry for Myocardial Infarction (NRMI) database, the number of patients undergoing primary PCI for AMI has increased, and this has been accompanied by a concomitant increase in the use of rescue PCI for failed thrombolytic therapy (5,6). Many interventionalists, however, find only limited opportunities to perform primary PCI for AMI in fellowship training and recognize that most of their skill in doing so comes from practical experience. The aim of this chapter is to provide some recommendations that will allow interventionalists to improve outcomes in patients with AMI and replicate in their clinical practices the improved mortality rates seen in recent clinical trials (7–11).

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Authors
  1. David A. Cox MD
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Editors and Affiliations

  1. Duke Clinical Research Institute and Division of Cardiology, Duke University Health System, Durham, NC, USA

    James E. Tcheng MD

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© 2002 Springer Science+Business Media New York

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Cox, D.A. (2002). Primary Coronary Intervention for Acute Myocardial Infarction. In: Tcheng, J.E. (eds) Primary Angioplasty in Acute Myocardial Infarction. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-155-8_3

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  • DOI: https://doi.org/10.1007/978-1-59259-155-8_3

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-6248-8

  • Online ISBN: 978-1-59259-155-8

  • eBook Packages: Springer Book Archive

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