ABSTRACT
Acute myocardial infarction (AMI) remains a major problem in the Western world. Complete and concise, Primary Angioplasty: Mechanical Interventions for Acute Myocardial Infarction provides an update on the rationale, techniques, and effectiveness of direct percutaneous mechanical revascularization for AMI. It combines a critical review of the key studies that are the foundation of evidence-based medicine with the so-called 'technology of experience.' The book puts the pathophysiologic and clinical aspects of AMI and reperfusion in an interventional perspective, highlighting the rationale for the best interventional approach to the patient with AMI.
Sharing insights based on their years of experience, the chapter authors present a comprehensive review of direct angioplasty and stenting supported by a full description of cases representing different angiographic and clinical patient subsets. The innovative format includes four sections based on clinical, technical, procedural, and logistic aspects of mechanical intervention for AMI. The book may be read in a conventional way, from beginning to end, or alternatively, starting from one of the four sections, and then following all possible sequences for the remaining three sections.
TABLE OF CONTENTS
part |2 pages
Section 1 The Clinical Perspective
chapter 1|12 pages
Pathophysiological basics of acute myocardial infarction The epicardial vessel The microcirculation The myocardium
chapter 2|28 pages
Major subgroups at presentation Electrocardiography Echocardiography Angiography Elderly patients Women Diabetics Cardiogenic shock
part |2 pages
Section 2 The Technical Perspective
chapter 5|4 pages
Mechanical support Intraaortic balloon pumping Other percutaneous mechanical circulatory support devices
part |2 pages
Section 3 The Vessel Perspective
chapter 6|46 pages
Right coronary artery (RCA)
chapter 8|14 pages
Left circumflex artery (LCX)
chapter 10|8 pages
Multivessel coronary intervention
part |2 pages
Section 4 The Efficacy Perspective