Related Experiment Video

Updated: Jun 21, 2026

Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion
13:18

Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion

Published on: November 22, 2024

[The region of Karlovac in the urgent PCI network]

Davor Horvat1, Janko Grman

  • 1Department of Medicine, Karlovac General Hospital, Karlovac, Croatia. davor.horvat@ka.t-com.hr

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|August 18, 2009
PubMed

Insights

Many ST-elevation myocardial infarction (STEMI) patients arrived with subacute conditions. Expanding urgent percutaneous coronary intervention (PCI) to unstable angina and NSTEMI patients could improve outcomes.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Context:

  • Acute Coronary Syndromes (ACS) management
  • Urgent Percutaneous Coronary Intervention (PCI) referral pathways

Purpose:

  • To analyze referral circumstances for ST-elevation myocardial infarction (STEMI) patients requiring urgent PCI.
  • To evaluate the application of PCI in acute coronary syndromes.

Summary:

  • A 2005-2008 study analyzed 366 ACS admissions: 37% unstable angina, 15% NSTEMI, 48% STEMI.
  • Of 176 STEMI patients, 52% presented with subacute infarction; only 22% received urgent PCI, 17% fibrinolysis.
  • Barriers to PCI in STEMI included late arrival, advanced age, and patient/physician refusal.

Impact:

  • Current STEMI referral practices result in delayed treatment for many patients.
  • Optimizing PCI use in STEMI, unstable angina, and NSTEMI could enhance treatment success rates.
Abstract

More Related Videos

In Silico Clinical Trials for Cardiovascular Disease09:09

In Silico Clinical Trials for Cardiovascular Disease

Published on: May 27, 2022

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Related Concept Videos

Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Region of Convergence01:17

Region of Convergence

The z-transform is a powerful mathematical tool used in the analysis of discrete-time signals and systems. It is a crucial tool in the analysis of discrete-time systems, but its convergence is limited to specific values of the complex variable z. This range of values, known as the Region of Convergence (ROC), is fundamental in determining the behavior and stability of a system or signal. The ROC defines the region in the complex plane where the z-transform converges, which can take various...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Rapid Identification of Pathogens01:25

Rapid Identification of Pathogens

MALDI-TOF MS has transformed clinical microbiology by offering a rapid and reliable method for pathogen identification. The traditional approach to microbial identification typically involves time-consuming culture techniques and biochemical tests, which can delay the initiation of appropriate antimicrobial therapy. MALDI-TOF MS avoids these delays by using characteristic ribosomal protein mass patterns of microbial cells, enabling accurate species-level identification within minutes.Principle...