Primary percutaneous coronary intervention for ST-segment-elevation myocardial infarction in a patient taking dabigatran for chronic anticoagulation.

Abstract:

:Interventional cardiologists have few data on which to base clinical decisions regarding optimal care for ST-segment-elevation myocardial infarction patients who are taking therapeutic chronic oral anticoagulation. We present what we believe to be the first reported case of emergency coronary angiography and primary percutaneous coronary intervention in an ST-segment-elevation myocardial infarction patient who was on a dabigatran regimen for atrial fibrillation. The patient tolerated the procedures well and had no observable bleeding sequelae. In addition to the patient's case, we discuss the current evidence regarding the periprocedural management of oral anticoagulation in patients who need coronary angiography and percutaneous coronary intervention.

journal_name

Tex Heart Inst J

authors

Ahmed I,Voyce SJ

doi

10.14503/THIJ-13-3727

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

158-61

issue

2

eissn

0730-2347

issn

1526-6702

journal_volume

42

pub_type

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