Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion
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Percutaneous Coronary Intervention Guidelines Microchapters |
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PCI Approaches: |
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CAD Revascularization: |
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Pre-procedural Considerations: |
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Procedural Considerations: |
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Post-Procedural Considerations: |
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Quality and Performance Considerations: |
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Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion On the Web |
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American Roentgen Ray Society Images of Percutaneous coronary intervention after successful fibrinolysis or for patients not undergoing primary reperfusion |
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Directions to Hospitals Treating Percutaneous Coronary Intervention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
2007 Focused Update of the ACCF/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention (DO NOT EDIT)[1]
PCI After Successful Fibrinolysis or for Patients Not Undergoing Primary Reperfusion (DO NOT EDIT)[1]
| Class I |
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"1. In patients whose anatomy is suitable, PCI should be performed when there is objective evidence of recurrent MI. (Level of Evidence: C)" |
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"2. In patients whose anatomy is suitable, PCI should be performed for moderate or severe spontaneous or provocable myocardial ischemia during recovery from STEMI. (Level of Evidence: B)" |
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"3. In patients whose anatomy is suitable, PCI should be performed for cardiogenic shock or hemodynamic instability. (Level of Evidence: B) |
| Class III |
| "1. PCI of a totally occluded infarct artery greater than 24 hours after STEMI is not recommended in asymptomatic patients with 1- or 2-vessel disease if they are hemodynamically and electrically stable and do not have evidence of severe ischemia. (Level of Evidence: B)" |
| Class IIa |
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"1. It is reasonable to perform routine PCI in patients with LV ejection fraction less than or equal to 0.40, heart failure, or serious ventricular arrhythmias. (Level of Evidence: C)" |
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"2. It is reasonable to perform PCI when there is documented clinical heart failure during the acute episode, even though subsequent evaluation shows preserved LV function (LV ejection fraction greater than 0.40). (Level of Evidence: C)" |
| Class IIb |
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"1. PCI might be considered as part of an invasive strategy after fibrinolytic therapy. (Level of Evidence: C)" |
References
- ↑ 1.0 1.1 King SB, Smith SC, Hirshfeld JW, Jacobs AK, Morrison DA, Williams DO; et al. (2008). "2007 Focused Update of the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: 2007 Writing Group to Review New Evidence and Update the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention, Writing on Behalf of the 2005 Writing Committee". Circulation. 117 (2): 261–95. doi:10.1161/CIRCULATIONAHA.107.188208. PMID 18079354.