STEMI: the most important changes in the current guidelines

Focus on

Learning Objective 1:

Aims
The student should be able to decide the best reperfusion strategy for a patient given a whole set of clinical symptoms and signs
Objectives

• Can decide is a patient should undergo a primary PCI or a fibrinolysis strategy
• Decide the best strategy in patients presenting with typical chest pain and non diagnostic ECG
• Choose the best antithrombotic regimen for a patient undergoing fibrinolysis
• Identify which patients should undergo an urgent coronary angiography after a resuscitated out of hospital cardiac arrest
• Select the best timing for an elective coronary angiography after a successful fibrinolysis
• Identify which patients should receive routine oxygen therapy

Learning Objective 2:

Aims
The student will be able to identify the best PCI technique/strategy aspects for a patient undergoing a primary PCI
Objectives

• Can decide which antithrombotic regimen to implement according to patient´s individual characteristics
• Choose the arterial access route according to patient´s individual characteristics and operator´s experience
• type of stent according to according to patient´s individual characteristics
• Identify when a non-infarct related artery with a significant stenosis should be treated
• Select cases that benefit from routine thrombus aspiration and/or deferred stenting

Learning Objective 3:

Aims
The student will be able to identify the best practice in terms of hospital care logistics and risk assessment
Objectives

• Determine the duration of continuous electrocardiographic/telemetry monitoring
• Determine the length of stay in a cardiac coronary care unit/intensive cardiac care unit according to the patient´s characteristics
• Choose which patients can be discharged early after STEMI
• Identify which imaging techniques should be used during hospital stay and after discharge according to the patient´s characteristics
• Identify which patients should be included in a cardiac rehabilitation programs and the best timing of implementation

Learning Objective 4:

Aims
The student will be able to identify long-term medications and duration of treatment for STEMI patients
Objectives

• Determine the best maintenance antithrombotic regimen according to patient´s characteristics (including patients taking oral anticoagulation)
• Identify which patients should receive beta-blockers, ACE inhibitors/ARBs and/or mineralocorticoid/aldosterone receptor antagonists
• Determine the length of stay in a cardiac coronary care unit/intensive cardiac care unit according to the patient´s characteristics
• Identify which patients should receive additional lipid-lowering therapies on top of high statin regimen

General cardiology webinars on-demand are now exclusively CME accredited for ESC Professional & Professional Plus Members.

ESC Professional Members: Answer a few questions and get 1 CME credit.