Listen "🎙️ Episode 7: Transfusion Targets Post-MI: Is 9 the New 10?"
Episode Synopsis
Send us a text🧠 Clinical Question:What's the optimal hemoglobin threshold for transfusion post-MI?Old dogma: “Keep Hgb >10”.New data: Less might be just as safe.🧪 The MINT Trial (Myocardial Ischemia & Transfusion):Compared liberal (Hgb <10) vs restrictive (Hgb <8) transfusion strategies.Lower 30-day recurrent MI or cardiac death seen with Hgb ≥10 approach.But... secondary analysis showed no major difference between 9 vs 10.⚠️ Risks of Transfusion:Volume overload (TACO).Hemolytic and allergic reactions.Cost and hospital stay increase.🧩 Clinical Takeaway:Consider transfusing at Hgb 9–10 in post-MI, particularly if symptoms or hemodynamics justify it.Be cautious, but not rigid — individualize based on patient condition.
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