Join Professor John Camm and Professor Christoph Bode as they review the case study of a patient who presented to the emergency department with acute ST-elevation myocardial infarction (STEMI) and a prior history of atrial fibrillation (AF). This patient required PCI and stenting, and the potentially-complicated management of his post-PCI therapy, including anticoagulation.
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In this video, filmed at ACC 2018, a case study of a 71-year-old male with acute STEMI and a 20-year history of AF is presented. The management of ongoing therapy is discussed with consideration of recent data, including the WOEST study, in which non-vitamin K oral anticoagulant (NOAC) and antiplatelet therapy are adjusted. Two other major trials, PIONEER AF-PCI and RE-DUAL PCI are also examined, moving on to how guidelines are beginning to reflect the results of recent studies and how it is becoming simpler to manage patients with dual, rather than triple therapy following acute MI in the AF patient.