Remove Thrombus Before Primary Angioplasty!

Felix Zijlstra
Felix Zijlstra

Felix Zijlstra, University Medical Center Groningen, The Netherlands
Thrombus aspiration before percutaneous coronary intervention for acute myocardial infarction has multiple benefits, according to data from the 1000-patient TAPAS study presented at the ACC meeting. Senior investigator Felix Zijlstra told Sara Freeman about the potentially practice-changing findings.

Heart Failure Drug Prevents Renal Damage?

Barry Massie
Barry Massie

Barry Massie, San Francisco VA Medical Center
COMMENT: Aaron Kugelmass, Henry Ford Hospital, Detroit
The adenosine A1-receptor antagonist rolofylline appears to prevent renal impairment and improve acute heart failure symptoms. Barry Massie and Aaron Kugelmass discussed findings from the 300-patient PROTECT pilot study with Sara Freeman.

Never Too Old For Hypertension Treatment!

Nigel Beckett
Nigel Beckett
Nick Boon
Nick Boon

Nigel Beckett, Imperial College, London
COMMENT: Nick Boon, British Cardiovascular Society, London

Even very old patients benefit greatly if you treat their hypertension. This is the finding of the randomized HYVET study of 4,000 patients with average age 83. Peter Goodwin talked with investigator Nigel Beckett, who presented details at one of the ACC sessions, and from the chairperson and British Cardiovascular Society President, Nick Boon who added his comments.

Routine Angioplasty Recommended After Thrombolysis

Warren Cantor
Warren Cantor
Tony Gershlick
Tony Gershlick

REFERENCE: Abstract 2404-3 SCAI-ACCi2 Late-Breaking Clinical Trials II: Acute Myocardial Infarction
Warren Cantor, University of Toronto
COMMENT: Tony Gershlick, Leicester University

A new study has shown important gains from adding angioplasty routinely to therapy for all patients receiving thrombolysis for acute myocardial infarction if it is available within 6 hours. This comes from the 1 000-patient TRANSFER-AMI study which Warren Cantor presented to the ACC. He talked with Peter Goodwin who also discussed the findings with Tony Gershlick.