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Pocket Guidelines on Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation

ESC Pocket Guidelines

ST-Elevation Myocardial Infarction (STEMI)
Interventional Cardiology
Antiplatelet Drugs
Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Coronary Intervention

Publication Date: 2017
Chairperson: Borja Ibanez and Stefan James

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Table of Contents

  • Introduction
    • Definition of acute myocardial infarction
    • Epidemiology of ST-segment elevation myocardial infarction 
  • What is new?
  • Emergency care
    • Initial diagnosis
    • Relief of pain, breathlessness and anxiety
    • Cardiac arrest
    • Prehospital logistics of care
  • Reperfusion therapy
    • Selection of reperfusion strategies
    • Primary percutaneous coronary intervention and adjunctive therapy
    • Fibrinolysis and pharmaco-invasive strategy
    • Coronary bypass surgery 
  • Management during hospitalization and at discharge
    • Special patient subsets
      • Patients taking oral anticoagulation
      • Elderly patients
      • Renal dysfunction
    • Risk assessment
      • Clinical risk assessment
      • Non-invasive imaging in management and risk stratification
  • Long-term therapies for ST-segment elevation myocardial
    • Lifestyle interventions and risk factor control
    • Pharmacological interventions
  • Complications following ST-segment elevation myocardial
    • Arrhythmias and conduction disturbances in the acute phase
  • Myocardial infarction with nonobstructive coronary arteries (MINOCA)
  • Assessment of quality of care