CARDIOVASCULAR I - ACUTE ISCHEMIC CORONARY SYNDROMES

Background

The pathology of acute ischemia is typically related to plaque instability, thrombus formation, and coronary flow obstruction resulting in myocardial damage. The intervention is targeted to restore patency, whether through use of thrombolytic agents or direct revascularization. The relevant biomarker would be related to a patency and/or perfusion assessment. Patency can be assessed directly by angiography or indirectly by perfusion techniques.

Moderators: Victor Dzau, M.D., Brigham and Women’s Hospital
Judith Hochman, M.D., Columbia University College of Physicians and Surgeons

Introduction
Larry Friedman, M.D., National Heart, Lung, and Blood Institute
George Sopko, M.D., M.P.H., National Heart, Lung, and Blood Institute

Targeted Topics: Acute Myocardial Infarction, Cardiogenic Shock, Unstable Angina

Angiography
David O. Williams, M.D., Brown University and Rhode Island Hospital
Jeffrey Popma, M.D., Brigham and Women's Hospital

Myocardial Imaging
Robert Bonow, M.D., Northwestern University Medical School
Franz Wackers, M.D., Yale School of Medicine
Pamela S. Douglas, M.D., Beth Israel Hospital

Myocardial Viability
Gerald M. Pohost, M.D., University of Alabama, Birmingham
Nathaniel Reichek, M.D., Medical College of Pennsylvania and MCP Hahnemann University

Plaque
Ward Casscells, M.D., University of Texas Medical School and Hermann Hospital
Zahi Fayed, Ph.D., Mount Sinai School of Medicine

Markers: ECG Serum
Bernard R. Chaitman, M.D., St. Louis University Medical Center
Allan Jaffe, M.D., State University of New York, Syracuse, Health Sciences Center

Clinical Trial Challenges
David L. DeMets, Ph.D., University of Wisconsin, Madison

Discussant: Robert R. Fenichel, M.D., Ph.D., Center for Drug Evaluation and Research, U.S. Food and Drug Administration

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