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STEMI in the cancer patient: Do not withhold primary PCI !
Author(s) -
Grines Cindy L.,
Tummala Pradyumna,
Marshall J. Jeffrey
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29052
Subject(s) - medicine , conventional pci , coronary angiography , cancer , disease , intensive care medicine , angiography , cardiology , myocardial infarction
Key Points Poor outcomes observed in cancer patients who sustain STEMI are due, in part, to advanced age, comorbidities, and underutilization of guidelines‐based therapies. Coronary angiography in the cancer patient is more likely to demonstrate MINOCA, but the majority have critical disease and PCI success is similar to noncancer patients. We recommend primary PCI with stenting as the default strategy in STEMI patients with cancer.