CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) update 2022 View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-01-12

AUTHORS

Yukio Ozaki, Hironori Hara, Yoshinobu Onuma, Yuki Katagiri, Tetsuya Amano, Yoshio Kobayashi, Takashi Muramatsu, Hideki Ishii, Ken Kozuma, Nobuhiro Tanaka, Hitoshi Matsuo, Shiro Uemura, Kazushige Kadota, Yutaka Hikichi, Kenichi Tsujita, Junya Ako, Yoshihisa Nakagawa, Yoshihiro Morino, Ichiro Hamanaka, Nobuo Shiode, Junya Shite, Junko Honye, Tetsuo Matsubara, Kazuya Kawai, Yasumi Igarashi, Atsunori Okamura, Takayuki Ogawa, Yoshisato Shibata, Takafumi Tsuji, Junji Yajima, Kaoru Iwabuchi, Nobuo Komatsu, Teruyasu Sugano, Masaru Yamaki, Shinichiro Yamada, Hiroaki Hirase, Yuusuke Miyashita, Fuminobu Yoshimachi, Masakazu Kobayashi, Jiro Aoki, Hirotaka Oda, Yoshiaki Katahira, Kinzo Ueda, Masami Nishino, Koichi Nakao, Ichiro Michishita, Takafumi Ueno, Taku Inohara, Shun Kohsaka, Tevfik F. Ismail, Patrick W. Serruys, Masato Nakamura, Hiroyoshi Yokoi, Yuji Ikari

ABSTRACT

Primary Percutaneous Coronary Intervention (PCI) has significantly contributed to reducing the mortality of patients with ST-segment elevation myocardial infarction (STEMI) even in cardiogenic shock and is now the standard of care in most of Japanese institutions. The Task Force on Primary PCI of the Japanese Association of Cardiovascular Interventional and Therapeutics (CVIT) society proposed an expert consensus document for the management of acute myocardial infarction (AMI) focusing on procedural aspects of primary PCI in 2018. Updated guidelines for the management of AMI were published by the European Society of Cardiology (ESC) in 2017 and 2020. Major changes in the guidelines for STEMI patients included: (1) radial access and drug-eluting stents (DES) over bare-metal stents (BMS) were recommended as a Class I indication, (2) complete revascularization before hospital discharge (either immediate or staged) is now considered as Class IIa recommendation. In 2020, updated guidelines for Non-ST-Elevation Myocardial Infarction (NSTEMI) patients, the followings were changed: (1) an early invasive strategy within 24 h is recommended in patients with NSTEMI as a Class I indication, (2) complete revascularization in NSTEMI patients without cardiogenic shock is considered as Class IIa recommendation, and (3) in patients with atrial fibrillation following a short period of triple antithrombotic therapy, dual antithrombotic therapy (e.g., DOAC and single oral antiplatelet agent preferably clopidogrel) is recommended, with discontinuation of the antiplatelet agent after 6 to 12 months. Furthermore, an aspirin-free strategy after PCI has been investigated in several trials those have started to show the safety and efficacy. The Task Force on Primary PCI of the CVIT group has now proposed the updated expert consensus document for the management of AMI focusing on procedural aspects of primary PCI in 2022 version. More... »

PAGES

1-34

References to SciGraph publications

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  • Journal

    Author Affiliations

  • Department of Cardiology, Fujita Health University School of Medicine, Aichi, Japan
  • Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
  • Department of Cardiology, National University of Ireland, Galway (NUIG), Galway, Ireland
  • Department of Cardiology, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan
  • Department of Cardiology, Aichi Medical University, Aichi, Japan
  • Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chiba, Japan
  • Department of Cardiovascular Medicine, Gunma University Graduate School of Medicine, Gunma, Japan
  • Department of Cardiology, Teikyo University Hospital, Tokyo, Japan
  • Division of Cardiology, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan
  • Gifu Heart Center, Gifu, Japan
  • Cardiovascular Medicine, Kawasaki Medical School, Kurashiki, Japan
  • Kurashiki Central Hospital, Kurashiki, Japan
  • Heart Center, Saga Medical Center Koseikan, Saga, Japan
  • Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • Department of Cardiology, Kitasato University Hospital, Sagamihara, Japan
  • Division of Cardiovascular Medicine, Department of Internal Medicine, Shiga University of Medical Science, Otsu, Japan
  • Department of Cardiology, Iwate Medical University Hospital, Morioka, Japan
  • Cardiovascular Intervention Center, Rakuwakai Marutamachi Hospital, Kyoto, Japan
  • Division of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
  • Cardiology Division, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan
  • Kikuna Memorial Hospital, Yokohama, Japan
  • Toyohashi Heart Center, Toyohashi, Japan
  • Chikamori Hospital, Kochi, Japan
  • Sapporo-Kosei General Hospital, Sapporo, Japan
  • Sakurabashi Watanabe Hospital, Osaka, Japan
  • Division of Cardiology, The Jikei University School of Medicine, Tokyo, Japan
  • Miyazaki Medical Association Hospital, Miyazaki, Japan
  • Kusatsu Heart Center, Kusatsu, Japan
  • The Cardiovascular Institute, Tokyo, Japan
  • Osaki Citizen Hospital, Osaki, Japan
  • Ota Nishinouchi Hospital, Fukushima, Japan
  • Yokohama City University Hospital, Yokohama, Japan
  • Nayoro City General Hospital, Nayoro, Japan
  • Kitaharima Medical Center, Ono, Japan
  • Takaoka Minami Heart Center, Takaoka, Japan
  • Nagano Red Cross Hospital, Nagano, Japan
  • Tokai University Hachioji Hospital, Tokyo, Japan
  • Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan
  • Niigata City General Hospital, Niigata, Japan
  • Department of Cardiology, Katta General Hospital, Shiroishi, Japan
  • Takase Clinic, Takasaki, Japan
  • Division of Cardiology, Osaka Rosai Hospital, Osaka, Japan
  • Division of Cardiology, Saiseikai Kumamoto Hospital, Cardiovascular Center, Kumamoto, Japan
  • Yokohama Sakae Kyosai Hospital, Yokohama, Japan
  • Fukuoka Kinen Hospital, Fukuoka, Japan
  • Keio University School of Medicine, Tokyo, Japan
  • King’s College London & Guy’s and St Thomas’ Hospital NHS Foundation Trust, London, UK
  • NHLI, Imperial College London, London, UK
  • Division of Cardiovascular Medicine, Ohashi Medical Center, Toho University School of Medicine, Tokyo, Japan
  • Cardiovascular Center, Fukuoka Sanno Hospital, Fukuoka, Japan
  • Department of Cardiology, Tokai University School of Medicine, Isehara, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s12928-021-00829-9

    DOI

    http://dx.doi.org/10.1007/s12928-021-00829-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1144587612

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35018605


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