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All Journal Global Medical and Health Communication The Indonesian Biomedical Journal Health Notions Molecular and Cellular Biomedical Sciences (MCBS) Indonesian Journal of Cardiology Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Heart Science Journal Cardiovascular and Cardiometabolic Journal (CCJ) Indonesian Applied Physics Letters Cermin Dunia Kedokteran Cermin Dunia Kedokteran Folia Medica Indonesiana
Yudi Her Oktaviono, Yudi Her
Department Of Cardiology & Vascular Medicine, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Electrical & Electronics Engineering Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Journal : Heart Science Journal

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Current Insights on Percutaneous Coronary Intervention in Non-ST Elevation Acute Coronary Syndrome Oktaviono, Yudi Her
Heart Science Journal Vol. 5 No. 3 (2024): The Science and Art of Revascularization in Acute Coronary Syndrome
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub/hsj.2024.005.03.1

Abstract

Percutaneous coronary intervention (PCI) is a cornerstone in the management of non-ST elevation acute coronary syndrome (NSTE-ACS), offering significant improvements in patient outcomes. Risk stratification is critical in guiding the urgency and timing of PCI, with invasive strategies recommended for high-risk patients identified by clinical, electrocardiographic, biomarker assessments, or validated scores. Multivessel coronary artery disease is frequently observed in patients with NSTE-ACS and is correlated with an increased likelihood of recurrent myocardial infarction and mortality. Preferably during the index procedure, complete revascularization should be considered in patients with stable hemodynamics. Functional invasive evaluation, including fractional flow reserve, may help assess the hemodynamic significance of coronary lesions and decide whether a non-culprit stenosed vessel prompts revascularization. Intravascular imaging techniques with optical coherence tomography and intravascular ultrasound are essential for evaluating lesion characteristics, optimizing stent deployment, and enhancing the precision of PCI. Overall, a personalized interventional approach in NSTE-ACS incorporating risk stratification, timely intervention, careful consideration of multivessel disease, and advanced diagnostic modalities is paramount in enhancing patient prognosis and minimizing recurrent ischemic events....
Co-Authors Abdurachman Abdurachman Angliana Chouw Angliana Chouw Ariikah Dyah Lamara Astrid Aulia Artiono Puteri Aziz, Karimah Khitami Budi Susetyo Pikir Budi Utomo Chorisma Permata Putri Nurazizah Dharmadjati, Budi Baktijasa Djanggan Sargowo Djanggan Sargowo Endah Purwanti Erwan, Nabila Erina Febryanti Hartono Feranti Meuthia Ferry Sandra Hanang Anugrawan Achmad Handayani, Riana Irien Eko Hermawati Kevin Luke Lefi, Achmad Ludfy Avianto, Achmad Tri Luqman Hakim Andira M. Arief Bustomi Mahendra Eko Saputra Mahrus A Rahman, Mahrus A Marcella Aurelia Yatijan Marshel Tendean Marshel Tendean Meuthia, Feranti Meuthia, Feranti Mohammad Aris Widodo Mohammad Aris Widodo Muhammad Atoillah Isfandiari Muhammad Fachriyan Romadhona Muhammad Ramadhan Muhammad, Raditya Rizki Mulyanto Mulyanto Pandit Bagus Tri Saputra Prabowo, Emil Prasmono, Agung Putri, Alisia Yuana Rachmat Ageng Prastowo Rakha Achmad Maulana Rizky Widya Rachmawati Romi Ermawan, Romi Rosi Amrilla Fagi Saskia Ratna Desita Soemantri, Djoko SOETJIPTO . Sundari Indah Wiyasihati Suryawan, I Gde Rurus Suryo Ardi Hutomo Susilo, Hendri Tri Saputra, Pandit Bagus tyagita rani savitri Widjiati Widjiati, Widjiati Yanni Dirgantara Yanni Dirgantara