Korean Circ J.  2021 Apr;51(4):289-307. 10.4070/kcj.2021.0043.

2021 Korean Society of Myocardial Infarction Expert Consensus Document on Revascularization for Acute Myocardial Infarction

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 2Department of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea
  • 3Division of Cardiology, Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 4Division of Cardiology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 5Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea
  • 6Division of Cardiology, Department of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Korea
  • 7Division of Cardiovascular, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, Seoul, Korea
  • 8Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea
  • 9Divison of Cardiology, Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea
  • 10Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
  • 11Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea
  • 12Divison of Cardiology, Department of Internal Medicine, Severance Hospital, Seoul, Korea

Abstract

Acute myocardial infarction (AMI) is a fatal manifestation of ischemic heart disease and remains a major public health concern worldwide despite advances in its diagnosis and management. The characteristics of patients with AMI, as well as its disease patterns, have gradually changed over time in Korea, and the outcomes of revascularization have improved dramatically. Several characteristics associated with the revascularization of Korean patients differ from those of patients in other countries. The sophisticated state of AMI revascularization in Korea has led to the need for a Korean expert consensus. The Task Force on Expert Consensus Document of the Korean Society of Myocardial Infarction has comprehensively reviewed the outcomes of large clinical trials and current practical guidelines, as well as studies on Korean patients with AMI. Based on these comprehensive reviews, the members of the task force summarize the major guidelines and recent publications, and propose an expert consensus for revascularization in patients with AMI.

Keyword

Fibrinolysis; Myocardial infarction; Percutaneous coronary intervention; Reperfusion; Stents
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