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ST-Segment Elevation Myocardial Infarction

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Essential Cardiology

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Abstract

ST-segment elevation myocardial infarction (STEMI) remains an important cause of morbidity and mortality in industrialized nations, and advances are continually being made in this realm. From primary and secondary prevention to prehospital care, acute reperfusion therapy, adjunctive medical therapy, and management of complications, innovative treatments and systems are constantly reshaping the landscape of STEMI care. Increasingly, attention is being placed on the quality of acute MI care, with recognition that improvement in processes of care can directly lead to better patient outcomes. This chapter provides up-to-date knowledge of the pathophysiologic mechanisms, diagnostic modalities, therapeutic strategies, and potential complications of STEMI that health-care providers caring for these patients need to know.

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Recommended Reading

  • Bradley EH, Herrin J, Wang Y, et al. Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med. 2006;355:2308–20.

    Article  PubMed  CAS  Google Scholar 

  • Keeley EC, Boura JA, Grines CL. Comparison of primary and facilitated percutaneous coronary interventions for ST-elevation myocardial infarction: quantitative review of randomised trials. Lancet. 2006;367:579–88.

    Article  PubMed  CAS  Google Scholar 

  • Kushner FG, Hand M, Smith Jr SC, et al. 2009 focused updates: ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction (updating the 2004 guideline and 2007 focused update) and ACC/AHA/SCAI guidelines on percutaneous coronary intervention (updating the 2005 guideline and 2007 focused update) a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2009;54:2205–41.

    Article  PubMed  Google Scholar 

  • O’Gara PT, Kushner FG, Ascheim DD, Casey DE, Chung MK, de Lemos JA, et al. ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127:e362–e425.

    Article  PubMed  Google Scholar 

  • Stone GW, Witzenbichler B, Guagliumi G, et al. Bivalirudin during primary PCI in acute myocardial infarction. N Engl J Med. 2008;358:2218–30.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Cardiology, University of Missouri-Kansas City, 2301 Holmes Road, Kansas City, MO, 64108, USA

    Jonathan R. Enriquez MD

  2. Department of Cardiology, UT Southwestern Medical Center, 5909 Harry Hines Blvd HA 9.133, Dallas, TX, 75390-9047, USA

    James A. de Lemos MD

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  1. Jonathan R. Enriquez MD
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Correspondence to James A. de Lemos MD .

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  1. The Mount Sinai School of Medicine, The James J. Peters VA Medical Center, Department of Medicine, West Kingsbridge Rd 130, Bronx, 10468, New York, USA

    Clive Rosendorff

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Enriquez, J.R., de Lemos, J.A. (2013). ST-Segment Elevation Myocardial Infarction. In: Rosendorff, C. (eds) Essential Cardiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6705-2_26

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