Actualités en cardiologie sur les SCA ST+

Recos RESURCOR 07 STEMI Les traitements « adjuvants »…
STREAM Fibrinolysis or Primary PCI in ST-segment Elevation Myocardial Infarction Armstrong P.W, et al. N Engl J Med 2013 ; 368 : Armstrong PW.
unstable angina undergoing PCI.
PRAGUE-8 PRAGUE-8 ESC 2007.
Prise en charge du syndrome coronarien aigu chez le patient non choqué
JPAD The Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes Trial. Efficacy of Low-Dose Aspirin Therapy for the Primary Prevention.
TAPAS Thrombus aspiration during percutaneous coronary intervention in acute myocardial infarction study (TAPAS) mortality and reinfarction at 1 year.
Abciximab Réduction du taux de récidive et de la mortalité à court et long terme par l’administration IV d’Abciximab. JAMA 2005 European Heart Journal.
ASSENT 3+ Comparaison de l’efficacité et de la sécurité des traitements par HBPM ou HNF, en association avec la fibrinolyse par TNK-t-PA dans la prise.
ON-TIME Intérêt de l’administration préhospitalière d’un bolus d’anti-GPIIb/IIIa à la phase aiguë d’un infarctus du myocarde traité par angioplastie coronaire.
FUTURA/OASIS-8 Low versus standard dose unfractionned heparin for percutaneous coronary intervention in acute coronary syndrome patients treated with fondaparinux.
Prévention de la mortalité de l’IDM aigu
FINESSE Facilitated Intervention with Enhanced Reperfusion Speed to Stop Events ESC 2007 FINESSE.
GRACE The Global Registry of Acute Coronary Events Montalescot G et al.
COURAGE Nuclear Differential Improvement in Stress Myocardial Perfusion Ischemia following Percutaneous Coronary Intervention as compared with Optimal.
ATOLL Acute STEMI treated with primary PCI and intravenous enoxaparin or UFH to lower ischemic and bleeding events at short and long-term follow-up. Montalescot.
ABOARD* Essai multicentrique randomisé comparant une stratégie invasive immédiate versus différée chez des patients présentant un syndrome coronarien aigu.
ATLAS ACS 2 -TIMI 51 Anti-Xa therapy to lower cardiovascular events in addition to standard therapy in subjects with acute coronary syndrome.  Présentée.
TITRATION DU CLOPIDOGREL Tailored Clopidogrel Loading Dose according to Platelet Reactivity Monitoring Decrease Early Stent Thrombosis. Paganelli F et.
Apixaban versus warfarin in patients with atrial fibrillation
Mechanical Reperfusion in Patients With Acute Myocardial Infarction Presenting More Than 12 Hours From Symptom Onset A Randomized Controlled Trial A. Schöming,
F VIIr et hépatectomie Apport de facteur VII activé recombinant au cours des hépatectomies : étude européenne multicentrique. SFAR sept 2003 / Posters.
Revascularisation coronaire prophylactique avant chirurgie vasculaire
Registre MATRIX Long term safety of DES (drug eluting stents) in off-label use : results of the MATRIX registry. Dangas G.D et al. American College of.
TRITON-TIMI 38 Intensive oral antiplatelet therapy for reduction of ischaemic events including stent thrombosis in patients with acute coronary syndromes.
ISAR-REACT Anti-GPIIbIIIa (abciximab) en complément d’une dose de charge en clopidogrel avant angioplastie avec mise en place d’une endoprothèse coronaire.
ATLANTIC : ticagrelor en traitement pré-hospitalier (2)
EINSTEIN-DVT Oral rivaroxaban versus standard therapy for the acute and continued treatment of symptomatic deep vein thrombosis. Büller H et al. ESC 2010.
Actualités sur les antiagrégants plaquettaires
TRA-CER Vorapaxar, a platelet thrombin receptor antagonist, in acute coronary syndromes. Mahaffey KW et al . AHA 2011.
ISAR REACT 3A A trial of reduced dose of unfractioned heparin in biomarker negative patients undergoing percutaneous coronary intervention. Schulz S et.
un infarctus du myocarde récent.
TRIANA Tratamiento del infarto agudo de miocardio en ancianos Bueno H et al.
Platelet inhibition with cangrelor in patients undergoing PCI.
PRODIGY Prolonging dual antiplatelet treatment after grading stent-induced intimal hyperplasia study Valgimigli M et al. ESC 2011.
TRITON-TIMI 38 Evaluation of Prasugrel Compared with Clopidogrel in Patients with Acute Coronary Syndromes and Planned Percutaneous Coronary Intervention:
GRACIA 2 Angioplastie coronaire primaire (ATL I) ou ATL « facilitée » dans le traitement de l’infarctus du myocarde en voie de constitution. ESC, Vienne,
PRAGUE 7 Primary angioplasty in patients from general hospital transported to cathlab units with/without emergency thrombolysis Widimski P et al.
EARLY-ACS Inhibition de la glycoprotéine IIb/IIIa dans le syndrome coronarien aigu sans sus-décalage de ST Newby K et al. ACC Anti-GPIIb/IIIa précoce.
EXTRACT-TIMI 25 Enoxaparin and Thrombolysis reperfusion for acute myocardial infarction treatment ESC 2007 EXTRACT-TIMI 25.
Intravenous platelet blockade with cangrelor during PCI.
NORDISTEMI Norwegian study on district treatment of ST-elevation myocardial infarction Halvorsen S. et al.
TRITON-TIMI 38 Trial to assess improvement in therapeutic outcomes by optimizing platelet inhibition with prasugrel-thrombolysis in myocardial infraction.
Revascularisation coronaire : ATL-endoprothèses ou chirurgie ?
L’ECG dans la cardiopathie ischémique
AIDA STEMI The abciximab intracoronary versus intravenously drug application in ST-elevation myocardial infarction (AIDA STEMI). Thiele H et al. AHA 2011.
ISAR-REACT 4 The abciximab intracoronary versus intravenously drug application in ST-elevation myocardial infarction (AIDA STEMI). Kastrati A et al. AHA.
SPORTIF V Comparaison de deux anticoagulants oraux,
ICTUS Comparaison entre revascularisation coronaire précoce
Prasugrel vs Clopidogrel for Patients managed with unstable angina or non-ST-segment elevation myocardial infarction with or without angiography : a secondary,
RE-COVER Dabigatran versus warfarine dans le traitement d’un accident thrombo-embolique veineux Schulman S et al. N Engl J Med 2009 ;361: Dabigatran.
CRASH-2 Effets de l’acide tranexamique sur la mortalité, les événements cardiovasculaires et la transfusion sanguine chez les patients traumatisés ayant.
Clopidogrel with aspirin in acute minor stroke or transient ischemic attack CHANCE Wang Y et al. N Engl J Med 2013 ;369:11-19.
Dr. A .BOUZERDA 1CMC .Agadir
LODOCO Low Dose Colchicine for Secondary Prevention of Cardiovascular Disease Nidorf M et al. AHA 2012.
ECASS III Thrombolyse avec l’altéplase 3 à 4,5 heures après un AVC ischémique. Hacke et al. N Engl J Med 2008;359: Thrombolysis with alteplase.
Cerebrovascular events in patients with atrial fibrillation randomized to edoxaban versus warfarin : effective anticoagulation with factor Xa next.
FREEDOM Strategies for Multivessel Revascularization in Patients with Diabetes N Engl J Med 2012 DOI : /NEJMoa Farkouh ME et al. AHA 2012.
Reduction of stent thrombosis in patients with acute coronary syndromes treated with rivaroxaban in ATLAS-ACS TIMI 51 ATLAS ACS 2 –TIMI 51 * Gibson CM.
RE-LY Efficacy and safety of dabigatran compared with warfarin at different levels of international normalised ratio control for stroke prevention in atrial.
FAME 2 Fractional Flow Reserve-Guided PCI versus Medical Therapy in Stable Coronary Disease De Bruyne B et al. ESC 2012.
Aspirin in Patients Undergoing Non Cardiac Surgery POISE 2 Devereaux PJ et al. NEJM 2014;370:
POISE-2 Aspirin in patients undergoing noncardiac surgery ACC Devereaux P.J, et al. N Engl J Med 2014 ; 370 :
Recombinant Administration of Ticagrelor in the cath lab or in the ambulance for new ST elevation myocardial infarction to open the coronary artery ATLANTIC.
Prasugrel vs Clopidogrel for Acute Coronary Syndromes without Revascularization TRILOGY ACS Roe MT et al. N Engl J Med 2012 ; 367:
1–Thrombolysis in myocardial infarction
ATLANTIC Administration of Ticagrelor in the cath lab or in the ambulance for new ST elevation myocardial infarction to open the coronary artery Montalescot.
Étude VERDICT : approche invasive précoce dans les NSTEMI (1)
TRILOGY ACS Prasugrel vs Clopidogrel for Acute Coronary Syndromes Patients managed without Revascularization. Ohman M, et al. ESC 2012.