Cardiovascular Diseases & Diagnosis

Pietro Dioguardi

Publications

• Review Article
  Off-Pump Coronary Artery Bypass Grafting in Patients with St-Segment Elevation Myocardial Infarction
  Author(s): Pietro DioguardiPietro Dioguardi
  
  Despite more than 30 years of experience with coronary artery bypass grafting (CABG), controversy still exists on the optimal timing of surgical revascularization after acute myocardial infarction (AMI). Systemic fibrinolytic treatment and primary percutaneous coronary intervention (PCI) are both effective and represent the first-choice treatment for acute ST-segment elevation myocardial infarction (STEMI), although several randomized studies have shown that primary PCI is superior to thrombolytic therapy achieving early reperfusion and reducing mortality. In the last 2 decades, CABG during AMI was performed only in patients with mechanical complications or refractory cardiogenic shock (high mortality and morbidity rates). Emergency CABG in patients with STEMI is still associated with high mortality and morbidity, and the early outcome is poor compared with the outcome in patients wit.. Read More»
  DOI: 10.4172/2329-9517.1000135

  Abstract PDF