What is the history of STEMI? What is the current treatment for Cardiogenic Shock? The Case Study of Detroit Cardiogenic Shock Initiative
Reporter: Aviva Lev-Ari, PhD, RN
UPDATED on 9/1/2019
Most Promising’ Cardioprotective Strategy Ends Up a Bust
‘It is what it is,’ says one expert
PARIS — Remote ischemic preconditioning failed as a cardioprotective strategy for patients undergoing primary percutaneous coronary intervention (PCI) for ST-segment elevation MI (STEMI), according to the CONDI-2/ERIC-PPCI trial presented here.
The rate of 12-month cardiac death or hospitalization for heart failure was similar between groups randomized to PCI with or without preconditioning (9.4% vs 8.6%, HR 1.10, 95% CI 0.91-1.32), reported investigator Hans Erik Bøtker, MD, PhD, of Aarhus University Hospital in Denmark. In total, there were 5,401 patients randomized in the multicenter study.
“Our trial provides definitive evidence that remote ischemic conditioning offers no benefit on clinical outcome in STEMI patients treated by contemporary optimal [primary] PCI,” he told the audience at the European Society of Cardiology (ESC) congress.
Thus, preconditioning has never been and will not be part of clinical practice, commented Patrick Meybohm, MD, of University Hospital Frankfurt in Germany, who said he agreed with Bøtker’s conclusions.
Primary Source
European Society of Cardiology
SOURCE
We present here five videos by Dr. William O’Neill, MD, Medical Director, Center for Structural Heart Disease at Henry Ford Health System, Detroit, MI.
Part 1 to Part 5 cover all aspects of clinical treatment for Cardiogenic Shock as the most advance stage of an Acute MI.
Dr. O’Neill presents a Treatment Model for Cardiogenic Shock that has the potential to be scaled up from a Regional Level in Detroit, MI to a National level including scaling up the Platform for Clinical Trials and Clinical Protocols for improving outcomes.
WATCH VIDEO –
Part 1: History of STEMI
WATCH VIDEO
Part 2: New Protocol
WATCH VIDEO
Part 3: Hospitals Joining
WATCH VIDEO
Part 4: Collaboration, Results and Next Steps
WATCH VIDEO
Leave a Reply