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Patients with severe and acute myocardial infarction (ie, ST-elevation myocardial infarction [STEMI]) require rapid diagnosis and treatment to reduce the risk of death and permanent myocardial injury . This topic provides an overview of STEMI management from presentation to the period immediately after revascularization.
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STEMI: ST-segment elevations ≥1 mm (0.1 mV) in 2 anatomically contiguous leads or ≥2 mm (0.2 mV) in leads V2 and V3 or new left bundle branch block and presentation consistent with ACS. If ECG suspicious but not diagnostic, consult cardiologist early.
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Apr 11, 2025 · Unstable angina (UA), acute non-ST-elevation myocardial infarction (NSTEMI), and acute ST-elevation myocardial infarction (STEMI) are the three presentations of acute coronary syndromes (ACS).
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Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options.
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Sep 18, 2024 · Once the diagnosis of unstable angina or an acute non-ST-elevation myocardial infarction (NSTEMI) is made, the early management of the patient involves the simultaneous achievement of several goals, including relief of ischemic pain, assessment of the hemodynamic state and correction of abnormalities that are present, determining the optimal ...
Complications of diagnostic cardiac catheterization - UpToDate
Nov 8, 2023 · Although diagnostic catheterization and percutaneous coronary intervention (PCI) are done by percutaneous puncture rather than incision, and under local rather than general anesthesia, they can cause a variety of adverse events, ranging from minor problems without long-term sequelae to major complications requiring immediate corrective action.
Non-ST-elevation acute coronary syndromes: Selecting an
Jul 28, 2023 · INTRODUCTION. Patients with non-ST-elevation acute coronary syndrome (NSTEACS, which includes the presentations of non-ST-elevation myocardial infarction [NSTEMI] and unstable angina) due to suspected coronary artery occlusion (ie, Type I myocardial infarction [MI]) typically undergo either invasive coronary angiography without prior noninvasive imaging (ie, invasive strategy) or stress or ...
Post-cardiac injury syndromes - UpToDate
Society guideline links: ST-elevation myocardial infarction (STEMI) Post-cardiac injury syndromes. Author: Brian D Hoit, MD Section Editor: Martin M LeWinter, MD Deputy Editor: Susan B Yeon, MD, JD. Literature review current through: Mar 2025. This topic last ...
Patient education: Heart attack (Beyond the Basics) - UpToDate
Sep 11, 2024 · Treatment of ST-elevation heart attack — If your ECG indicates that you are having an ST-elevation heart attack, or STEMI, you will be given many of the same medications as for NSTEMI while doctors are deciding how best to quickly open the blocked coronary artery.
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Sep 18, 2024 · Patients with acute ST-elevation myocardial infarction (STEMI) should receive coronary reperfusion therapy with either primary percutaneous coronary intervention (PCI) or fibrinolysis. For most patients with acute STEMI, we prefer primary PCI rather than fibrinolysis.