This prospective cohort of 2464 STEMI patients, 3% had stent thrombosis (ST). Those with ST had higher peak CK values, and required longer angiography procedure times and contrast load. Although PCI was successful in restoring flow 96% of the time, the 6 month angiographic restenosis/reocclusion rate was 54%, the 6 month non-fatal MI rate was 10%, and 6 month death was 12% (all significantly higher than the STEMI patients without ST). Stent thrombosis is associated with larger infarcts and worse outcomes (abstract).
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]
By reading the headlines recently, practitioners would not know if they saved or tanked the healthcare system. One day disaster looms, the next we have moderated growth and business can continue as usual (and by business, I mean doing the correct things correctly). A new study, along with some recent data, helps shed some light […]