Primary Angioplasty

Foreword.- Historical perspectives on management of acute myocardial infarction.- Pre-hospital diagnosis and management of acute myocardial infarction.- STEMI network and logistics - rural vs. urban.- Cath lab design, staffing, training.- Patient preparation and vascular access for primary PCI.- Management of intra-coronary thrombus.- Culprit only artery versus multi-vessel disease.- Pharmacologic therapies in primary PCI - antiplatelet agents.- Pharmacologic therapies in primary PCI - glycoproteins, heparins, bivalirudins, etc.- Pharmacologic therapies in primary PCI - inotropes, etc.- Drug-eluting stents vs. bare-metal stents in Primary PCI - Is there still a debate?.- Drug-eluting balloons in primary PCI.- High bleeding risk scenarios in primary PCI.- Mechanical complications of myocardial infarction - free-wall rupture, VSD, acute MR.- The role of mechanical circulatory support in primary PCI - IABP, ECMO, IMPELLA, LUCAS?.- Methods of reducing infarct size and reperfusion injury in primary PCI.- Time to reperfusion, door to balloon times, and how to reduce them.- Utilization of facilitated and rescue angioplasty in primary PCI.- Primary angioplasty: the economics.- Role of bypass surgery in acute myocardial infarction: indications, timing, outcome.- Role of intravascular imaging in emergency PCI.- Patients ineligible for primary PCI .

Dr. Timothy Watson is a board certified interventional cardiologist with a keen interest in novel technologies and research. He qualified at the University of London and completed his internship and residency in various hospitals in London and across the West Midlands region. After becoming a member of the Royal College of Physicians of London, he joined a clinical research training programme where he led a study investigating mechanisms of blood clot formation in atrial fibrillation, a common irregular heartbeat which can increase the risk of stroke. For this work, he has been awarded a Doctor of Medicine (MD) degree from the University of Birmingham. Dr. Watson trained in general and interventional cardiology, primarily at Addenbrooke's and Papworth Hospitals in Cambridge. He has subsequently undertaken a fellowship in interventional and structural cardiology at the renowned Green Lane Cardiovascular Unit in Auckland, New Zealand, where he has been involved in various first-in-human studies using exciting and novel technologies, some of which are now being introduced into clinical mainstream practice. He has worked as a consultant (interventional) cardiologist in New Zealand, Malaysia and in Singapore. In addition to his work as a clinical cardiologist, he continues to undertake various research projects as an investigator and maintains active research collaborations with the University of Auckland.



Dr. Paul Ong graduated from the University of Cambridge. He has been a member of the Royal College of Physicians since 1996 and has been a fellow of Royal College of Physicians (FRCP) in London and fellow of the European Society of Cardiology (FESC) since 2008. He completed his early medical training in some of the most prestigious London teaching hospitals. Dr. Ong completed his cardiology specialist training in NW Thames, gaining dual accreditation in cardiology and general medicine. He was awarded the Certificate of