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Author(s): Karl Werdan , Martin Russ , Michael Buerke , et al Added: 3 years ago
Cardiogenic Shock, One of the Unresolved Problems in Cardiology Provided the patient with acute myocardial infarction (AMI) reaches the hospital, he has a more than 90 % probability to survive.1 However, when cardiogenic shock develops, either initially or in the course of the infarction, only one in two patients is alive one year later.2,3 It really seems that all the progress in the treatment… View more
Author(s): Sasko Kedev Added: 3 years ago
An invasive strategy including percutaneous coronary intervention (PCI) improves clinical outcomes in patients with ST-segment elevation myocardial infarction (STEMI) and in high-risk patients with non-ST-segment elevation acute coronary syndrome (NSTEACS).1,2 The femoral approach (TFA) is the preferred and most widely used percutaneous access site in most cardiac catheterisation laboratories… View more
Author(s): Dagmar M Ouweneel , Bimmer E Claessen , Krischan D Sjauw , et al Added: 3 years ago
The main goal of mechanical cardiac assistance is to provide haemodynamic support in case of an endangered coronary or systemic circulation by increasing or maintaining coronary and systemic blood flow. In addition to haemodynamic support, mechanical cardiac assistance may also provide myocardial protection by unloading the ventricle. The experience with percutaneous mechanical support devices is… View more
Author(s): Nilesh Pareek , Peter Kordis , Ian Webb , et al Added: 3 years ago
Out-of-hospital cardiac arrest (OHCA) is defined as the sudden absence of cardiac mechanical contractility with loss of signs of circulation that occurs within a community setting.1 OHCA affects more than half a million patients globally per year and is one the leading causes of death in developing countries.2 In the US, OHCA affects 350,000 patients per year and is the third leading cause of… View more
Author(s): Lieuwe H Piers , Maarten A Vink , Giovanni Amoroso Added: 3 years ago
The transradial approach (TRA) was introduced for the first time in 1989.1 Used at first by Campeau for coronary angiography, the TRA was later applied by Kiemeneij et al. for percutaneous coronary intervention (PCI).2 The radial artery has proven to be a challenging but safe route towards the coronary arteries. According to the European Society of Cardiology (ESC) guidelines, the radial artery… View more
Author(s): Alexander G Truesdell , Behnam Tehrani , Ramesh Singh , et al Added: 3 years ago
Considering the unacceptably high mortality rate of patients with cardiogenic shock (CS) and the absence of widespread improvements in survival over recent decades, the time has arrived for the cardiovascular community to embrace a ‘combat’ approach to CS.1 In the past 20 years we have witnessed a revolution in the management of combat polytrauma towards a goal of zero preventable battlefield… View more