Korean J Med.  2018 Feb;93(1):25-32. 10.3904/kjm.2018.93.1.25.

The 2017 Update of the Clinical Guidelines for ST-Segment Elevation Myocardial Infarction of the European Society of Cardiology

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. drcorazon@hanmail.net
  • 2Chungbuk Regional Cardiocerebrovascular Center, Chungbuk National University Hospital, Cheongju, Korea.

Abstract

The 2017 Clinical Guidelines for ST-segment elevation myocardial infarction of the European Society of Cardiology updated many important aspects of the pre-hospital phase, the selection of a reperfusion strategy, interventional and pharmacological treatment, and patient quality assessment. The principal changes are a clear definition of the first medical contact, elimination of the door-to-balloon time from consideration, recommended radial access intervention, a recommendation that drug-eluting stents should be preferred to bare metal stents, recommended complete revascularization during hospitalization, and early discharge of selected patients. Routine manual thrombus aspiration and oxygen supplementation for patients who are not hypoxemic are now discouraged.

Keyword

ST segment elevation myocardial infarction; Practice guideline; Emergency medical services; Percutaneous coronary intervention; Myocardial reperfusion

MeSH Terms

Cardiology*
Drug-Eluting Stents
Emergency Medical Services
Hospitalization
Humans
Myocardial Infarction*
Myocardial Reperfusion
Oxygen
Percutaneous Coronary Intervention
Reperfusion
Stents
Thrombosis
Oxygen
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