How Should You Treat/Assess Non-culprit Disease? - Dr. Justin Davies

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Summary

Justin Davies details the assessment and treatment of bystander CAD in ACS


  • The negative prognostic impact of multi vessel disease in STEMI
  • Theoretical pros and cons of both treating and deferring non-culprit vessels in ACS
  • The concept of "vulnerable plaque"
  • Previous guidelines recommendations strongly discouraged treating non-culprit arteries in STEMI (class III recommendation in 2013); now upgraded to Class IIb
  • Summary of RCT evidence available on this topic: PRAMI, CvLPRIT, DANAMI
  • Intracoronary imaging with IVUS and OCT to characterise plaque composition, vessel characteristics and luminal area
  • Future RCTs currently ongoing that will provide more data to guide us in this field

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Target Audience

  • Interventional cardiology trainees
  • Cardiology trainees
  • General practitioners with specialist interest in cardiology
  • Clinical fellows
  • Physiologists
  • Cath lab staff
  • Aspiring cardiology trainees

The 'Simple Essential Guide to Catheter Laboratory Diagnostic, Procedure and Therapeutics' course is designed for all busy Cardiology trainees, Clinical Fellows, Interventional Fellows, aspiring cardiologists and consultants looking for a rapid and simple update in this expanding field.

Each module of the 4 modules is designed to cover topics that will be encountered by all cardiologists regardless of specialisation and are therefore designed to provide the definitive update in the management of patients with coronary artery and structural heart disease for the practicing clinical cardiologist regardless of sub-specialty. So, if you want to be more confident in the catheter lab - this is the course for you!

Learning Objectives

  • Diagnosis of NSTEMI/STEMI
  • Pre catheter laboratory planning (Drugs, patient selection etc.)
  • Evidence behind choosing the correct anti platelet agents
  • Familarise yourself with Emergencies 
  • Learn about different catheters for emergency patients
  • Watch live case practical demonstrations
  • Post PCI management (Drugs, rehab etc.)
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