Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Coronary artery dilatation after infarct]

V Mühlberger1, H Beimpold

  • 1Abteilung für Invasive interventionelle Kardiologie, Universitätsklinik für Innere Medizin, Innsbruck.

Acta Medica Austriaca
|January 1, 1993
PubMed
Summary

Coronary balloon angioplasty (PTCA) after acute myocardial infarction is recommended for specific cases, including immediate or rescue procedures, but routine use is not advised. Watchful waiting remains the standard approach post-myocardial infarction.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The immediate and long-term effect of optimal balloon angioplasty on the absolute coronary blood flow velocity reserve. A subanalysis of the DEBATE study. Doppler Endpoints Balloon Angioplasty Trial Europe.

European heart journal·2001
Same author

The European registry of cardiac catheter interventions 1996.

European heart journal·2001
Same author

Angiographical and Doppler flow-derived parameters for assessment of coronary lesion severity and its relation to the result of exercise electrocardiography. DEBATE study group. Doppler Endpoints Balloon Angioplasty Trial Europe.

European heart journal·2000
Same author

Short- and long-term outcomes of Wiktor stent implantation at low versus high pressures. Austrian Wiktor Stent Study Group.

The American journal of cardiology·1999
Same author

Audit and quality control in angioplasty in Europe: procedural results of the AQUA Study 1997: assessment of 250 randomly selected coronary interventions performed in 25 centres of five European countries. AQUA Study Group, Nucleus Clinical Issues, Working Group Coronary Circulation, of the European Society of Cardiology.

European heart journal·1999
Same author

Spatial analysis of Percutaneous Transluminal Coronary Angioplasty (PTCA) in Austria.

European journal of epidemiology·1999

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • International studies have evaluated percutaneous transluminal coronary angioplasty (PTCA) following acute myocardial infarction (MI).
  • The efficacy and indications for PTCA post-MI have been refined through extensive research.

Purpose of the Study:

  • To summarize the current evidence regarding the indications for PTCA after acute myocardial infarction.
  • To delineate the role of PTCA in specific clinical scenarios post-MI.

Main Methods:

  • Review of findings from multiple large-scale international clinical trials (e.g., TAMI, TIMI, GUSTO, SAVE).
  • Analysis of patient characteristics and lesion types influencing PTCA decisions.

Main Results:

  • PTCA after MI is indicated for anatomically suitable lesions with evidence of ischemia or angina.

Related Experiment Videos

  • Immediate PTCA and rescue PTCA (post-lysis failure) are recommended when 24/7 expert availability exists.
  • Routine PTCA at any time post-MI without specific indications is not universally recommended; 'watchful waiting' is advised.

    • Conclusions:

    • Strict indications for PTCA post-MI are confirmed, balancing lesion anatomy, ischemia, and angina.
    • Specific patient groups, including those with total occlusions, significant stenoses without ischemia, elderly patients, non-Q-wave MIs, and reduced left ventricular function, warrant further consideration for PTCA.
    • Ongoing studies are crucial for further refining PTCA strategies in complex post-MI scenarios.