Faculty Sponsor

Jana Stedman

College

Nursing

Department/Program

Physician Assistant Program

Presentation Type

Poster Presentation

Symposium Date

Summer 7-24-2024

Abstract

Objective: When cardiologists and cardiac surgeons are evaluating patients who are experiencing a myocardial infarction, both coronary artery bypass grafting, and percutaneous coronary intervention are amongst the most widely used management options. Although there are pros and cons to each option, this poses a difficult decision amongst providers to choose the best management for patients with an acute myocardial infarction. The overarching goal of this paper is to investigate each treatment option and its effect on cardiovascular mortality. Methods: A literature search has been performed using Google Scholar, PubMed, and Summon from 2018 to current accounting for 17,900 sources. Out of these sources, 6 studies were selected using inclusion and exclusion criteria. One of the studies is retrospective leaving the other five to be meta-analysis studies of randomized controlled trials. These studies must have included patients ages fifty or greater undergoing coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) with measurements of cardiovascular mortality. Outcomes of interest include cardiovascular mortality, overall mortality, and major adverse cardiac-cerebral outcomes (MACCE). Results: In this study, patients who underwent CABG had lower rates of cardiovascular mortality whereas patients with PCI had higher rates of cardiovascular mortality. Conclusion: CABG is the preferred method of treatment for patients with myocardial infarction regarding reducing cardiovascular mortality; however, it is still unclear if these results vary from patient to patient in regard to their personal past medical history, length of follow up, and if they are undergoing these procedures after an acute myocardial infarction or with acute on chronic coronary artery disease.

Keywords: STEMI, CABG, PCI, acute, cardiovascular mortality, revascularization, recurrent myocardial infarction, stroke, MACCE

Biographical Information about Author(s)

Adrianna Picicco has always had a special interest in cardiovascular medicine while completing her two elective rotations in interventional cardiology and cardiothoracic surgery. She will be working with Cardiothoracic and Vascular Surgery Associates at various hospitals in Illinois following graduation. She will be presenting on “Reducing Cardiovascular Mortality in Treating Acute STEMI with Coronary Artery Bypass Grafting Versus Percutaneous Coronary Intervention” as she has a personal interest in which management strategies reduce mortality rates for the leading cause of death worldwide.

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