Tag

Stemi

All articles tagged with #stemi

Impella Unloading Fails to Reduce Infarct Size in Anterior STEMI Without Shock
health5 hours ago

Impella Unloading Fails to Reduce Infarct Size in Anterior STEMI Without Shock

The STEMI Door-to-Unload (DTU) trial found that unloading the left ventricle with Impella CP 30 minutes before PCI in patients with anterior STEMI without cardiogenic shock did not reduce infarct size compared with PCI alone. Importantly, the Impella strategy delayed reperfusion (about 40 minutes to PCI and ~47 minutes total ischemic time) and increased major bleeding (≈30%) and vascular complications, with no improvement in secondary outcomes. The study concludes Impella is not recommended for infarct-size reduction in this population, though it remains relevant for cardiogenic shock; future research may explore alternative strategies.

Young Hearts at Risk: First-Time Heart Attacks Surging in Americans Under 55
health28 days ago

Young Hearts at Risk: First-Time Heart Attacks Surging in Americans Under 55

A new international study finds first-time heart attacks among US adults 18–54 rose 57% from 2011 to 2022, driven largely by STEMI; NSTEMI deaths stayed around 1% and stable. Women faced worse in-hospital outcomes, and nontraditional factors—like sleep quality, stress, low income, diabetes/prediabetes, kidney disease, and drug use—mattered more for predicting death than traditional risks. Rising prediabetes/diabetes in youth and kidney disease, along with ongoing high drug-related deaths, highlight the need for earlier risk identification and broader risk assessment in younger adults.

Young Americans Face Rising STEMI Deaths, Study Finds
science1 month ago

Young Americans Face Rising STEMI Deaths, Study Finds

Among Americans under 55, STEMI deaths rose by 1.2 percentage points from 2011 to 2022 (NSTEMI deaths stayed flat), with non-traditional risk factors like kidney disease, low income, and non-tobacco drug use linked to higher mortality; young women had higher death rates and were less likely to receive procedures, highlighting gaps in care and evolving risk patterns for youth.

Monday Blues: Higher Risk of Deadly Heart Attacks Found in Study
health2 years ago

Monday Blues: Higher Risk of Deadly Heart Attacks Found in Study

A new study by the British Heart Foundation has found that the most dangerous type of heart attack, known as a STEMI, is more likely to occur on a Monday than any other day of the week. Researchers were surprised to discover an unusual uptick in STEMI heart attacks on Sundays, too. The increase in STEMI heart attacks is related to stress hormones, and an increase in the stress hormone cortisol may be behind an increase in heart attacks occurring on Mondays. The exact mechanism for these variations is unknown, but it is presumed to have something to do with how the circadian rhythm affects circulating hormones that can influence heart attacks and strokes.

Monday Blues: Higher Risk of Deadly Heart Attacks.
health2 years ago

Monday Blues: Higher Risk of Deadly Heart Attacks.

Deadly heart attacks are more likely to occur on Mondays than on any other day during the week, according to new research from the Belfast Health and Social Care Trust and the Royal College of Surgeons. The study analysed data from 10,528 patients admitted to hospitals between 2013 and 2018 with a ST-segment elevation myocardial infarction (STEMI), the most serious form of heart attack. The research team observed spikes in rates of STEMI heart attacks at the start of the workweek, with rates reaching their highest levels on a Monday.

COVID-positive donor hearts linked to increased mortality in transplant patients.
medical-research-news2 years ago

COVID-positive donor hearts linked to increased mortality in transplant patients.

Patients with STEMI and COVID-19 had a significant amount of clotting in their arteries both before and after intervention, according to the latest analysis from The North American COVID-19 STEMI (NACMI). Clots were seen in multiple arteries in close to 30% of patients, a phenomenon observed in less than 5% of patients with heart attacks who do not have COVID-19. The findings point to the need for clinicians to be meticulous with blood thinning strategies, early interventions, and patient follow-up.