• Clin Med · Aug 2015

    Review

    The acute management of ST-segment-elevation myocardial infarction.

    • Serena F Carville, Robert Henderson, and Huon Gray.
    • National Clinical Guideline Centre, Care Quality Improvement Department, Royal College of Physicians, London, UK serena.carville@rcplondon.ac.uk.
    • Clin Med. 2015 Aug 1; 15 (4): 362367362-7.

    AbstractAcute ST-segment-elevation myocardial infarction (STEMI) results from complete obstruction to coronary artery blood flow accompanied by the appearance of ST-segment-elevation on the electrocardiogram. Emergency treatment is required to restore coronary perfusion, thereby limiting the extent of damage to the myocardium and the likelihood of early death or future heart failure. This concise guideline summarises key recommendations from the National Institute for Health and Care Excellence clinical guideline on acute management of STEMI (CG167), of relevance to all healthcare professionals involved. Guidance is presented on choice of reperfusion strategies, procedural aspects, use of additional drugs before and alongside reperfusion therapies, and treatment of patients who are unconscious or in cardiogenic shock.© Royal College of Physicians 2015. All rights reserved.

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