12 Things Cardiologists Think Hospitalists Need to Know

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12 Things Cardiologists Think Hospitalists Need to Know

10) Some Non-STEMI Patients Might Benefit From Getting to the Catheterization Lab Quickly


Door-to-balloon time is recognized as critical for ST-segment elevation myocardial infarction (STEMI) patients, but more recent work—such as in the TIMACS trial—finds benefits of early revascularization for some non-STEMI patients as well.

"This trial showed that among higher-risk patients, using a validated risk score, that those patients did benefit from an early approach, meaning going to the cath lab in the first 12 hours of hospitalization," Dr. Fonarow says. "We now have more information about the optimal timing of coronary angiography and potential revascularization of higher-risk patients with non-ST-segment elevation MI."

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