CardioExchange Archive

July 11th, 2013

Thrombolytic Therapy for Prosthetic Valve Thrombosis in Pregnant Women?

Mehmet Ozkan, Professor of Cardiology, Patricia Casais, MD, PhD and John Ryan, MD

Mehmet Özkan discusses his research group’s study of low-dose, slow-infusion t-PA in pregnant women with prosthetic valve thrombosis. Patricia Casais, a coauthor of the official editorial on the study, also offers her perspective.

---

March 14th, 2013

Fibrinolysis Now or Primary PCI Later?

Frans Van de Werf, MD,PhD, Richard A. Lange, MD, MBA and L. David Hillis, MD

CardioExchange’s Rick Lange and David Hillis ask Frans Van de Werf, principal investigator for the STREAM study, about his study group’s findings and their implications for clinical practice. THE STUDY In the STREAM trial, investigators compared two treatment strategies in STEMI patients presenting early after symptom onset who were unable to undergo primary PCI within 1 hour: […]

---

January 30th, 2012

Selections from Richard Lehman’s Weekly Review: Week of January 30th

Richard Lehman, BM, BCh, MRCGP

This week’s topics include lifetime cardiovascular risks, anticoagulation self-monitoring, opting for thrombolytics over late transfer for PCI, exercise’s antidepressant effect, and the worry that statins can induce diabetes.

---

November 30th, 2011

Thrombolysis Instead of Primary PCI

Sanjiv Shah, MD

The latest analysis of 2009 CMS data for 13,776 STEMI patients of door-in to door-out (DIDO) time by Herrin and colleagues does not bring encouraging news. After many years of hard work to reduce DIDO time for patients who present at facilities without primary PCI capability, only a small fraction of patients (<10%) are transferred […]

---

November 30th, 2011

Should FedEx Be in Charge of Primary PCI?

Richard A. Lange, MD, MBA and L. David Hillis, MD

Federal Express built its business on being a leader in transportation and delivering on time.  Perhaps the results of primary PCI in the U.S. would be better if FedEx ran the program. In patients with acute MI who must be transferred to another hospital for primary PCI, experts agree that the door-in to door-out (so called, […]

---