Ecoestresse para todos os infartados?

Figure 2.

https://www.ahajournals.org/doi/full/10.1161/CIRCINTERVENTIONS.119.007924

WHAT IS KNOWN

  • Multivessel disease is frequently observed in patients with acute myocardial infarction.
  • Complete revascularization in patients with acute ST-segment–elevation myocardial infarction and multivessel disease is associated with better clinical outcomes than infarct-related artery–only revascularization.

WHAT THE STUDY ADDS

  • A selective stress echocardiography–guided revascularization strategy was safe and may not be significantly different to complete angiographically guided revascularization.
  • Moreover, stress echocardiography–guided revascularization strategy significantly reduced the need for predischarge elective revascularization procedures.

Em pacientes com infarto do miocárdio com elevação do segmento ST e doença multiarterial, a revascularização guiada por ecocardiografia de estresse pode não ser significativamente diferente da revascularização completa guiada por angiografia, reduzindo assim a necessidade de revascularização eletiva antes da alta hospitalar.

Válvulas mecânicas não seguem a moda na Inglaterra

Best Mitral Valve GIFs | Gfycat

We wish to confirm and re­iterate to managers, commissioners, healthcare professionals and patients that, at
present, none of the novel oral anticoagulant drugs (dabigatran, edoxaban, apixaban & rivaroxaban) are
licensed for use in patients with mechanical heart valves and, in fact, they are contra­indicated in patients
with mechanical valves as per both European[3] and North American[4] clinical practice guidelines because of
a higher incidence of thrombo­embolic complications when compared to warfarin.

https://www.bsecho.org/Public/News/Articles/2021/2021-08/20210809-Joint%20Statement.aspx

Anticoagulation of Patients with Mechanical Heart Valves
A Joint Statement from the British Heart Valve Society (BHVS), the Society for Cardiothoracic
Surgeons (SCTS), the British Society of Echocardiography (BSE), the Primary Care Cardiovascular Society
(PCCS), the British Congenital Cardiac Association (BCCA) and the British Cardiovascular Society (BCS)