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Editorial
. 2019 Jun 18;8(12):e013067.
doi: 10.1161/JAHA.119.013067. Epub 2019 Jun 11.

Targeting an Ischemic Time <120 Minutes in ST-Segment-Elevation Myocardial Infarction

Matthew Henderson  1 , Jaclyn Carberry  1 , Colin Berry  1
Affiliations
Editorial

Targeting an Ischemic Time <120 Minutes in ST-Segment-Elevation Myocardial Infarction

Matthew Henderson et al. J Am Heart Assoc. .
No abstract available

Keywords: Editorials; door‐to‐balloon; fibrinolysis; myocardial infarction; primary angioplasty; symptom‐to‐balloon.

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Figures

Figure 1
Figure 1
Two patients with similar presentations of STEMI. Both patients had Thrombolysis in Myocardial Infarction 0 flow in the left anterior descending artery (yellow arrows), with Rentrop 0 collateral flow. Both patients were treated according to guidelines. A, Patient with transmural infarct and microvascular obstruction. Symptom‐to‐balloon time was 163 minutes. LGE imaging demonstrated infarct size of 25% of the left ventricle. Microvascular obstruction was present at 8% of the left ventricle. Myocardial salvage index was 30%. This patient also had myocardial hemorrhage acutely that persisted as myocardial iron at a 6‐month follow‐up CMR (not shown). This patient was rehospitalized with new‐onset heart failure. B, Patient without transmural infarct and no microvascular obstruction. Symptom‐to‐balloon time was 87 minutes. LGE imaging demonstrated infarct size of 16% of the left ventricle. Myocardial salvage index was 52%. This patient had an uncomplicated clinical course. CMR indicates cardiac magnetic resonance; LGE, late gadolinium enhancement; STEMI, ST‐segment–elevation myocardial infarction.
See this image and copyright information in PMC

Comment on

References

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