The 2007 ACC/AhA STeMI GuIdelIneS: ProvIdInG The BeST AnTIPlATeleT And AnTIThroMBIn MAnAGeMenT of ST-SeGMenT elevATIon MyoCArdIAl InfArCTIon In The ed
نویسنده
چکیده
1. Participants should be familiar with the 2007 focused update on STeMI and its relationship to the 2004 ACC/AhA guidelines for the treatment of ST-segment elevation MI (STeMI). 2. Participants should understand the clinical decision making factors needed to determine the optimum reperfusion therapy in STeMI. 3. Participants should understand the recent clinical trial evidence and rationale behind the use of clopidogrel, enoxaparin, and bivalirudin in the treatment of STeMI. 4. Participants should understand the concept of facilitated PCI, and the clinical trial data supporting its recommendations in the treatment of STeMI.
منابع مشابه
Commentary: the role of percutaneous coronary intervention in ST-segment-elevation myocardial infarction.
In this issue of Circulation, Dr Gregg Stone offers a thorough review of percutaneous coronary intervention (PCI) strategies to treat ST-segment– elevation myocardial infarction (STEMI).1,2 All of the major topics are addressed and comprehensively referenced, and the figures provide a concise summary of much of the evidence base. His ultimate vision is the establishment of STEMI systems of care...
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BACKGROUND In 2007, the American College of Cardiology/American Heart Association (ACC/AHA) published new guidelines for the diagnosis and management of patients with unstable angina/non-ST segment elevation myocardial infarction (UA/NSTEMI). These guidelines include some important updates on the use of clopidogrel, fondaparinux, bivalirudin and low-molecular-weight heparins (LMWHs) all of whic...
متن کاملDevelopment of systems of care for ST-elevation myocardial infarction patients: the physician perspective.
The physician’s overarching role in the development of systems of care for ST-segment–elevation myocardial infarction (STEMI) is to advocate for achieving the goal of early infarct-artery patency for all patients with STEMI. An effective STEMI care system relies on a team of multiple physicians, nurses, emergency medical services (EMS) personnel, and other providers to work in an efficient, col...
متن کاملCanadian Cardiovascular Society Working Group: Providing a perspective on the 2007 focused update of the American College of Cardiology and American Heart Association 2004 guidelines for the management of ST elevation myocardial infarction.
1University of Alberta, Edmonton, Alberta; 2Dalhousie University, Halifax, Nova Scotia; 3McGill University Health Centre, Montreal, Quebec; 4Southlake Regional Health Centre, Newmarket; 5University of Toronto, Toronto, Ontario Correspondence: Dr Robert C Welsh, Department of Medicine, University of Alberta, 2C2 Cardiology WMC, 8440–112 Street Northwest, Edmonton, Alberta T6G 2B7. Telephone 780-...
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Background: ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI ) are common types of acute coronary syndrome which are associated with the risk factors of age, obesity, hypertension, and diabetes. Objective: The present study aimed to examine the effects of age on the risk factors and clinical sym...
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