1. Can Multimodal Invasive Imaging Be Used to Predict Periprocedural Myocardial Infarctions?

    Can Multimodal Invasive Imaging Be Used to Predict Periprocedural Myocardial Infarctions?

    More than 1 million percutaneous coronary interventions (PCIs) are performed per year in the United States. Although technological advances have significantly improved outcomes following PCI, 5% to 44% of PCI patients still experience periprocedural myocardial infarction (PMI). PMI can be either macro-sized (coronary dissection or occlusion of a side branch) or microvascular such as distal embolization and/or microvascular plugging. PMIs have recently been defined as Type 4a: cardiac troponin (cTn) levels >5× elevation above the 99th percentile upper reference limit (URL), but only if the baseline cTn levels were normal (≤99th percentile URL) 1 . In addition to the elevated ...

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