Best Treatment for Myocardial Infarction: Whole Coronary Artery Approach
Seoul, South Korea (Yonhap News) – A recent study has revealed a groundbreaking treatment for myocardial infarction in the elderly. Contrary to conventional methods that focus solely on the blocked coronary artery causing the heart attack, this new approach encompasses the complete restoration of all narrowed blood vessels.
When treating elderly myocardial infarction patients, medical professionals typically address only the main artery responsible for the heart attack, while leaving partially blocked arteries untreated. This cautious approach stems from concerns about the patient’s weakened condition and other underlying health issues.
However, Dr. Simone Biscalia, a cardiologist at the Medical School of the University of Ferrara in Italy, and his research team have challenged this conventional wisdom. In a study involving 1,445 male and female patients, including a significant number aged 80 and above, the team randomly reopened either the “culprit” artery or all other partially blocked coronary arteries.
The results were remarkable. The group that underwent complete recanalization experienced a significantly lower risk of mortality and recurrent heart attacks compared to the group that received treatment solely targeting the primary artery. Specifically, the complete recanalization group witnessed a 36% reduction in risk.
Furthermore, only 16% of patients in the total coronary artery revascularization group suffered adverse outcomes such as death, recurrent myocardial infarction or stroke, or the need for another coronary revascularization procedure. This figure was 27 percentage points lower compared to the group limited to primary artery recanalization.
Remarkably, the procedure was found to be safe for both groups, with no significant complications.
Dr. Greg Fornarro, director of the Cardiomyopathy Center at the University of California, Los Angeles, emphasized the importance of treating all partially blocked coronary arteries, regardless of the patient’s age. He pointed to recent clinical trials that have consistently demonstrated the superiority of complete recanalization in improving patient outcomes for myocardial infarction.
These groundbreaking findings were presented at the European Heart Association conference held in Amsterdam, the Netherlands, and have been published in the latest edition of the prestigious American medical journal, the New England Journal of Medicine.
This study has significant implications for the treatment of myocardial infarction, offering a potential paradigm shift towards comprehensive and individualized care. Medical professionals should seriously consider adopting this innovative approach to enhance patient health and increase survival rates for myocardial infarction.
“Myocardial infarction, whole coronary artery problem is the best treatment”
(Seoul = Yonhap News) Reporter Han Seong-gan = A study has found that the best treatment for myocardial infarction in the elderly is not only the blocked coronary artery that supplies blood to the heart, but also the all other narrowed blood vessels.
When treating elderly patients with myocardial infarction, it is common to select only the ‘wrong’ coronary artery that caused the myocardial infarction, reopen the occluded portion, and leave other coronary arteries as they are even if they have partially block them. This is because there is a high possibility that there is another underlying disease or that the body is in a weakened state.
However, a research team led by Dr. Simone Biscalia, a cardiologist at the Medical School of the University of Ferrara in Italy, the results of a study that not only treats the ‘main’ artery, but also all the other partially blocked arteries to improve health and increase the chance of survived The Day News reported on the 6th.
The research team randomly reopened the ‘culprit’ coronary artery or all other partially blocked coronary arteries in 1,445 male and female patients with myocardial infarction, and observed the prognosis. Half of the patients were over 80 years old.
As a result, 9% of patients in the group who underwent complete recanalization of blocked arteries died within a year or had a recurrent myocardial infarction, while 14% of the group who underwent the ‘primary offender’ arterial recanalization procedure only alone
This suggests that total coronary artery recanalization has a 36% lower risk than treatment limited to the ‘primary’ coronary artery, the researchers explained.
Overall, 16% of patients in the total coronary artery revascularization group suffered one of the following: ▲death ▲recurrent myocardial infarction or stroke ▲or another coronary revascularization procedure, 27 percentage points less than 21% in the coronary revascularization group ‘lead’. .
The procedure itself was found to be safe for both groups.
Other cardiologists agree that treatment of myocardial infarction should treat all partially blocked coronary arteries, regardless of the patient’s age.
Dr Greg Fornarro, director of the Cardiomyopathy Center at the University of California, Los Angeles, USA, said that a number of recent clinical trials have shown that for the treatment of myocardial infarction, complete recanalization of all coronary arteries with blocked blood vessels significantly a lot. better than just focusing on the ‘wrong’ artery treatment
The results of this study were presented at the European Heart Association conference held in Amsterdam, the Netherlands, and were published in the latest issue of the American medical journal ‘New England Journal of Medicine’.
skhan@yna.co.kr
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