Has preventive medicine entered the realm of the interventional cardiologist?
Date
2013
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
South African Heart Association
Abstract
The result of the Preventive Angioplasty in Acute Myocardial Infarction (PRAMI) trial(1) released at the recent ESC meeting held in Amsterdam has attracted enormous interest and rightly so: if the conclusions drawn by the researchers prove correct, the management of patients presenting with a ST segment elevation myocardial infarction (STEMI) is about to undergo a major change. The authors provide evidence to support “preventive PCI” in non-infarct related coronary arteries in patients with multivessel disease undergoing angiography with the objective of opening the infarct related coronary artery. These findings challenge the long-held view, reflected in international guidelines, that PCI in this setting should be aimed only at the so-called culprit lesion. It also challenges the view that the likelihood of atheromatous
plaque rupture is primarily related to the properties of the plaque (degree of inflammation, cap thickness, cholesterol content) and not the degree of stenosis.
Description
CITATION: Doubell, A. 2013. Has preventive medicine entered the realm of the interventional cardiologist? SA Heart, 10(3):511-513, doi:10.24170/10-3-1790.
The original publication is available at https://www.journals.ac.za
The original publication is available at https://www.journals.ac.za
Keywords
Cardiologists
Citation
Doubell, A. 2013. Has preventive medicine entered the realm of the interventional cardiologist? SA Heart, 10(3):511-513, doi:10.24170/10-3-1790.