Curve of wisdom in ACS : Open Cath lab doors may mean nothing , if the windows are closed !

“We have a 24/7 cath lab with an open door policy. Our cardiologist arrives at 15 minutes’ notice. Door to balloon time is less than 60-90 minutes”,  “Great, so, you can always offer a successful treatment for STEMI” “No, that we can never guarantee.”   “Oh, It Is not the answer, I  expected” “I agree, it sounds disappointing, but. truths are less pleasing. What I am trying to say is, there are a number of factors other than the availability of a grand cath lab and agile and effortless hands, that try to reperfuse the myocardium in distress.  I agree, we do save lives occasionally in a dramatic fashion. Recently we resuscitated an almost dead man with CPR and ECMO-guided PCI. But, most times it turns out to be just a customary ritual that takes us to the legal and therapeutic  endpoint* of STEMI management” *Both salvage & non-salvage “I didn’t get you, Can you explain further? See this curve and try to understand it yourself. (I would say, this is the ultimate curve to understand in the entire field of coronary care) Can you guess what will be the outcome for C to B, or B to A ?  In the real world, a substantial number of interventions take place at an Invisible point E beyond A  Source: Gersh BJ, Stone GW, White HD, Holmes DR Jr. Pharmacological facilitation of primary percutaneous coronary intervention for acute myocardial infarction: is the slope of the curve the sh...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: acute coroanry syndrome acute coronary syndrome Cardiology -Criteria Cardiology -guidelines cardiology -Therapeutics Cardiology -unresolved questions acc aha esc scai gudilines acs acs management evidence based cardiology open artery h Source Type: blogs