ST Elevation Myocardial Infarction (STEMI)

Summary Slides

 

Download Results of TIMI Trials 1-17 Over 80 slides from the past 15 years of TIMI trials all in one slide set

 

Door to Balloon Times and Mortality

 

Overview of Phase II Angiographic Trials of Combination Therapy with full dose GPIIbIIIa inhibition plus reduced dose fibrinolysis

 

Commentary on the COMMIT Trial of 46,000 patients randomized to Lopressor in STEMI

 

Commentary on the COMMIT Trial of 46,000 patients randomized to Plavix in STEMI

 

NRMI Registry Milestones

 

NRMI Registry Update

 

Slideset based upon the AHA/ACC STEMI Guidelines Recommendations

 

Epidemiology of AMI

 

Selection of Patients for Reperfusion Therapy

Pharmacologic Management

 

Fibrinolytic Monotherapy:

ASSENT 2 TNK in STEMI

 

ASSENT-3 TNK in STEMI

 

ASSENT 3-PLUS Low molecular weight heparin enoxaparin vs unfractionated heparin in combination with TNK for STEMI

 

ASSENT 4 Assessment of the Safety and Efficacy of a New Treatment Strategy for Acute Myocardial Infarction

 

CLARITY-TIMI 28 Largest Angiographic ST Elevation MI Trial to Date Shows Improved Patency & Myocardial Perfusion with Plavix

 

COMMIT Clopidogrel Clopidogrel vs placebo among patients with ST elevation myocardial infarction (MI) also treated with aspirin

 

COMMIT Lopressor Treatment with the beta-blocker metoprolol compared with placebo among patients with STEMI also treated with aspirin

 

CREATE-Reviparin Trial of low molecular wt. heparin oid in STEMI

 

ENTIRE Phase 2 study of Enoxaparin in STEMI

 

EXTRACT-TIMI 25 Enox vs UFH in 20,000 STEMI pts provided by Dr. Elliott M. Antman

 

HART 2 Enoxaparin in STEMI

 

TIMI 10A, 10B, ASSENT I TNK in STEMI


Half Dose Fibrinolytic + Full Dose GPIIbIIIa inhibition:

 

FASTER Aggrastat in STEMI

 

GUSTO 5 trial design  rPA + abciximab vs rPA alone in STEMI

 

INTEGRITI Eptifibatide + TNK in STEMI

 

INTRO AMI Rationale Eptifibatide + lysis in STEMI

 

INTRO AMI Results Eptifibatide + lysis in STEMI

 

SPEED rPA + abciximab

 

TIMI 14 rPA + abciximab in STEMI


Other:

Intracoronary Autologous Bone-Marrow Cell Transfer after Myocardial Infarction

 

PREAMI Perindopril Remodeling in Elderly With Acute Myocardial Infarction

 

PREMIER Matrix Metalloproteinase Inhibitor to Prevent Left Ventricular Remodeling After Acute Myocardial Infarction

Interventional Strategies

 

Primary PCI:

ALKK PTCA in stable survivors of acute MI vs medical therapy

 

BRAVE-2 Benefit of primary PCI among asymptomatic pts presenting late in STEMI

 

CADILLAC Abciximab & Bare Metal Stenting in STEMI

 

CAPTIM Comparison of Angioplasty and Prehospital Thrombolysis in Acute Myocardial Infarction

 

DANAMI II Danish Myocardial Infarction Study

 

MATE  from Peter McCullough, M.D., Medicine vs Angiography in Thrombolytic (Reperfusion) Exclusion Patients

 

PAMI Stent: 6 Month Results

 

PAMI Stent: 1 Year Results

 

PAMI Stent: Mortality among patients with a closed artery on presentation to cath lab

 

WEST: Which Early ST Elevation Myocardial Infarction Therapy Trial


Facilitated PCI:

ADMIRAL Abciximab pre-PCI for STEMI

 

ADVANCE Additive value of tirofiban administered with the high-dose bolus in the prevention of ischemic complications during high-risk coronary angioplasty *Provided by Dr. Valgimigli, University of Ferrara Italy & Erasmus MC, the Netherlands

 

CADILLAC vs ADMIRAL

 

CAPITAL AMI Combined Angioplasty and Pharmacological Intervention Versus Thrombolytics Alone in Acute Myocardial Infarction

 

GRACIA-2 Safety and efficacy of optimal primary PCI vs facilitated PCI with TNK+stenting in patients with ST elevation MI

 

INTAMI Integrilin in Acute Myocardial Infarction

 

PACT Half dose tPA before PCI in STEMI

 

REACT Rescue Angioplasty Versus Conservative Therapy or

Repeat Thrombolysis Trial

 

STRATEGY Single High-Dose Bolus Tirofiban and Sirolimus-Eluting Stent vs. Abciximab and Bare-Metal Stent in Myocardial Infarction

 

TETAMI Treatment of Enoxaparin and Tirofiban in Acute Myocardial Infarction

 

TIGER PA Aggrastat before primary PCI


 

Distal Protection:

 

AiMI Thrombectomy With the AngioJet in Acute Myocardial Infarction

 

EMERALD Enhanced Myocardial Efficacy and Removal by Aspiration of Liberated Debris

 

Filterwire FilterWire-Ex as an Adjunct to Primary PCI