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Hospital Medicine

Interventional Cardiology   

Questions discussed in this category

What is your preferred anticoagulation/antiplatelet regimen for younger patients presenting with ACS, found to have an acute thrombotic event requiring aspiration thrombectomy without need for stent deployment?
2 Answers available
How do you decide between opting for semi-elective outpatient versus inpatient TAVR for patients with severe critical AS?
1 Answer available
Following left main bifurcation stenting, do you routinely proceed with kissing balloon inflation of the side branch, either LCx or LAD?
7 Answers available
In light of recent trials evaluating NPO before cath (CHOW NOW, SCOFF, etc.) are centers still restricting oral intake pre-procedure?
3 Answers available
For patients presenting with ACS and severe aortic stenosis with critical left main disease, would you consider BAV prior to PCI to the left main?
2 Answers available
Do you recommend routine use of protamine for hemostasis at the end of a transfemoral TAVI?
1 Answer available
Do shorter door-to-balloon (D2B) times impact outcomes in STEMI, if it's already less than 90 minutes, and to what degree (i.e., 30 vs 60 minutes would have a more significant impact)?
1 Answer available
How do you decide between administering or deferring upstream P2Y12 inhibitor treatment until patient is in the lab for NSTEMI or STEMI cases with unknown coronary anatomy?
2 Answers available
How do you approach revascularization in patients over 75 years with NSTEMI, given recent evidence from the SENIOR-RITA trial that an invasive strategy does not significantly reduce cardiovascular events compared to a conservative strategy?
Kunadian, et al., PMID 39225274
1 Answer available
What is your approach to using beta-blockers in patients with acute myocardial infarction with preserved LV ejection fraction who undergo early coronary angiography in light of the REDUCE-AMI trial findings?
REDUCE-AMI trial
2 Answers available
Would you recommend normal saline for pre- and post-LHC hydration in patients with CKD stage III to IV with reduced LV systolic function, and if so, what is a reasonable amount of volume?
2 Answers available
What is your intraprocedural approach to reducing time to reperfusion in STEMI cases: opting for culprit lesion PCI first then complete angiography, or complete angiography followed by culprit lesion PCI?
Levi et al., PMID 38551563
2 Answers available
When pursuing complex PCI of the RCA (especially when lesion preparation is required), when do you consider placing a transvenous pacemaker in anticipation of conduction abnormalities?
5 Answers available
Do you prefer a loading dose of 300mg or 600mg plavix for patients presenting with NSTEMI or unstable angina about to undergo LHC?
Does your preferred dose change if this were in a non-ACS setting with elective outpatient PCI? 
2 Answers available
How have the findings from DanGer Shock RCT changed your perspective on which patients presenting with acute MI complicated by cardiogenic shock would benefit from Impella for additional hemodynamic support?
2 Answers available
What is a reasonable hemoglobin goal for patients with chronic anemia presenting with acute MI?
1 Answer available
In patients presenting with ACS and multivessel disease, when do you favor immediate versus delayed complete revascularization?
If delayed complete revascularization is favored, would you consider staged PCI during that same admission or PCI outpatient? 
3 Answers available
Should bare metal stents be favored over drug eluting stents for pregnant patients presenting with acute coronary syndrome?
1 Answer available


Papers discussed in this category

Eur Heart J,
2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy.
The New England journal of medicine, 2023 Aug 27
Timing of Complete Revascularization with Multivessel PCI for Myocardial Infarction.
The New England journal of medicine, 2023 Nov 11
Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia.
Circulation, 2019 Nov 17
The Evolving Landscape of Impella Use in the United States Among Patients Undergoing Percutaneous Coronary Intervention With Mechanical Circulatory Support.
JACC. Heart failure, 2020 Nov
Complete Hemodynamic Profiling With Pulmonary Artery Catheters in Cardiogenic Shock Is Associated With Lower In-Hospital Mortality.
The New England journal of medicine, 2024 Apr 07
Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock.
The New England journal of medicine, 2013-09-05
Door-to-balloon time and mortality among patients undergoing primary PCI.
Lancet (London, England), 2014-05-24
Haemodynamic-guided fluid administration for the prevention of contrast-induced acute kidney injury: the POSEIDON randomised controlled trial.
The New England journal of medicine, 2024 Sep 01
Invasive Treatment Strategy for Older Patients with Myocardial Infarction.

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