Eagle's Eye View: Your Weekly CV Update From ACC.org Ischemic Preconditioning & Noncardiac Surgery; The Microaxial Flow Pump in STEMI-CS; DOACs After Strokes
Jul 9, 2025
Delve into the surprising effects of ischemic preconditioning in noncardiac surgeries and its limited benefits. Discover how microaxial flow pumps enhance treatment for STEMI patients in cardiogenic shock, offering crucial hemodynamic support. Plus, explore the intriguing idea of starting direct oral anticoagulants right after a stroke, possibly reducing future stroke risks and complications. This insightful discussion shines a light on innovative strategies in cardiovascular care.
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Ischemic Preconditioning Ineffective Here
- Ischemic preconditioning before non-cardiac surgery showed no benefit in reducing postoperative myocardial injury.
- The limited cycles of preconditioning in the study likely contributed to the lack of effect.
Prehabilitation Boosts Surgery Recovery
- Focus on prehabilitation with exercise and respiratory aids before major non-cardiac surgery.
- Prehabilitation improves postoperative recovery by enhancing overall lung mechanics and fitness.
Microaxial Pump Reduces Cardiac Work
- Microaxial flow pumps in STEMI patients with cardiogenic shock reduce cardiac workload while maintaining output.
- This device lowers pulmonary artery wedge pressure and improves heart hemodynamics.