Best Practices in Cath Lab Management for STEMI Enduring-Case of STEMI with Refractory No-Reflow

Video Transcription

Video Summary

The video discusses a case of a 53-year-old smoker who experienced chest pain and was quickly treated for a STEMI (ST-Elevation Myocardial Infarction) after EMS administered aspirin and transmitted a 12-lead EKG. This pre-hospital EKG transmission activated the STEMI team timely. Various doctors discuss the EKG transmission systems and their benefits, emphasizing quick access via email or applications. During the procedure, despite initial successful reperfusion, the patient experienced no-reflow, a condition where blood flow does not reach heart tissues adequately after opening a blocked artery. The discussion highlights the importance of treatment strategies, including stabilization, anticoagulation, and sometimes direct stenting, depending on the anatomy and thrombus burden. The presentation covers the importance of managing no-reflow by maximizing coronary perfusion pressure and using vasodilators. Overall, the discussion underscores rapid diagnosis and intervention processes facilitated by EKG transmission and the nuanced decision-making required in managing complex cardiac emergencies.

Asset Subtitle

J. Dawn Abbott, MD, FSCAI

Keywords

STEMI

EKG transmission

no-reflow

coronary perfusion

anticoagulation

cardiac emergencies