How should you treat/ assess non-culprit disease? - Amarjit Sethi

↳ This is a section part of Moment: Simple Education Interventional Fellows Course - Module 3: Acute Coronary Syndrome, NSTEMI and STEMI

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Summary

Amarjit Sethi 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 practictioners with specialist interest in cardiology
  • Clinical fellows
  • Physiologists
  • Cath lab staff
  • Aspiring cardiology trainees


This course is organised and run by Simple Education and is kindly supported by Medtronic and Volcano.

Learning Objectives

The Simple Education Essential Guide to Coronary Angiography and Right Heart Catheterisation has a refreshing style, and is innovative in format  comprising short lectures all filmed with HD and is centred on real cases and video demonstrations.

  • Feel more confident in the cardiac catheter lab
  • Instantly know what to do when things go wrong during procedures 
  • Familarise yourself with Emergencies 
  • Learn about different catheters, for native arteries and grafts
  • Watch live case practical demonstrations
  • Learn about access routes and vascular closure 

Other Components in this Moment

Overview
Does this patient need to go to the cath lab - indications for STEMI and hight risk ACS? - Rasha Al Lamee
Preparing your patient for angioplasty - what complications should do discuss and what is their incidence? - Yousif Ahmad
Anti-platelet Therapy and anticoagulants in ACS patients – Which? When? Why? – what if I need to stop? - Rasha Al-Lamee
Fail safe guide to access routes and guide catheters in acutely unwell patients. - Ricardo Petraco
Recorded Live Case and Discussion - Justin Davies, Chris Baker and Sayan Sen
Post PCI care - what to put on the report, drug chart and what to tell the ward team? - Christopher Cook
Thrombus Aspiration and Balloon Pumps – what's the bottom line? - Yousif Ahmad
How should you treat/ assess non-culprit disease? - Amarjit Sethi
What medication should the patient have on discharge and why - Ricardo Petraco
Post PPCI complications – when to take the patient back to the lab. - Sukh Nijjer
Multiple Choice Assessment
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