• Cardiovasc Revasc Med · Aug 2020

    Review

    Treatment of ST-Segment Elevation Myocardial Infarction During COVID-19 Pandemic.

    • Charan Yerasi, Brian C Case, Brian J Forrestal, Chava Chezar-Azerrad, Hayder Hashim, Itsik Ben-Dor, Lowell F Satler, Gary S Mintz, and Ron Waksman.
    • Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America.
    • Cardiovasc Revasc Med. 2020 Aug 1; 21 (8): 1024-1029.

    AbstractThe number of cases of the coronavirus-induced disease-2019 (COVID-19) continues to increase exponentially worldwide. In this crisis situation, the management of ST-segment elevation myocardial infarction (STEMI) is challenging. In this review, we outline the risks and benefits of primary PCI vs. thrombolysis for STEMI. While thrombolysis may seem like a good choice, many patients have a contraindication and could end up using more resources. Also, with a high probability of the angiogram showing non-obstructed coronary arteries during acute infections, primary PCI should be the preferred strategy.Copyright © 2020 Elsevier Inc. All rights reserved.

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