ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction--executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction)

Table of Contents Introduction 673 Pathology 673 Epidemiology 673 Management Before STEMI 673 Identification of Patients at Risk of STEMI 673 Patient Education for Early Recognition and Response to STEMI 673 Onset of STEMI 675 Out-of-Hospital Cardiac Arrest 675 Prehospital Issues 675 Emergency Medic...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2004-08, Vol.44 (3), p.671-719
Main Authors: Antman, Elliott M, Anbe, Daniel T, Armstrong, Paul Wayne, Bates, Eric R, Green, Lee A, Hand, Mary, Hochman, Judith S, Krumholz, Harlan M, Kushner, Frederick G, Lamas, Gervasio A, Mullany, Charles J, Ornato, Joseph P, Pearle, David L, Sloan, Michael A, Smith, Jr, Sidney C
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary
Body mass index
Cardiology
Cardiovascular Agents - therapeutic use
Cholesterol
Contraindications
Coronary Angiography
Coronary Artery Bypass
Coronary Care Units - organization & administration
Decision Trees
Diagnosis, Differential
Drug therapy
Early Diagnosis
Emergency Medical Services - methods
Emergency Service, Hospital - organization & administration
Heart Arrest - etiology
Heart Arrest - therapy
Heart attacks
Heart Conduction System - physiopathology
Hospitals
Humans
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Myocardial Infarction - drug therapy
Myocardial Infarction - physiopathology
Myocardial Infarction - prevention & control
Myocardial Infarction - rehabilitation
Myocardial Infarction - therapy
Outcome Assessment (Health Care)
Patient Discharge
Patient Education as Topic
Risk Assessment
Risk Factors
Severity of Illness Index
Thrombolytic Therapy - standards
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Summary:Table of Contents Introduction 673 Pathology 673 Epidemiology 673 Management Before STEMI 673 Identification of Patients at Risk of STEMI 673 Patient Education for Early Recognition and Response to STEMI 673 Onset of STEMI 675 Out-of-Hospital Cardiac Arrest 675 Prehospital Issues 675 Emergency Medical Services Systems 675 Prehospital Chest Pain Evaluation and Treatment 675 Prehospital Fibrinolysis 675 Prehospital Destination Protocols 677 Initial Recognition and Management in the Emergency Department 677 Optimal Strategies for Emergency Department Triage 677 Initial Patient Evaluation 677 History 678 Physical Examination 678 Electrocardiogram 678 Laboratory Examinations 678 Biomarkers of Cardiac Damage 678 Bedside Testing for Serum Cardiac Biomarkers 679 Imaging 679 Management 679 Routine Measures 679 Oxygen 679 Nitroglycerin 679 Analgesia 679 Aspirin 680 Beta-Blockers 680 Reperfusion 680 General Concepts 680 Selection of Reperfusion Strategy 680 Pharmacological Reperfusion 682 Percutaneous Coronary Intervention 684 Acute Surgical Reperfusion 688 Patients With STEMI Not Receiving Reperfusion 688 Assessment of Reperfusion 688 Ancillary Therapy 688 Other Pharmacological Measures 690 Hospital Management 691 Location 691 Coronary Care Unit 691 Stepdown Unit 691 Early, General Measures 692 Level of Activity 692 Diet 692 Patient Education in the Hospital Setting 692 Analgesia/Anxiolytics 692 Risk Stratification During Early Hospital Course 692 Medication Assessment 693 Beta-Blockers 693 Nitroglycerin 693 Inhibition of the Renin-Angiotensin-Aldosterone System 693 Antiplatelets 694 Antithrombotics 694 Oxygen 694 Estimation of Infarct Size 694 Electrocardiographic Techniques 694 Cardiac Biomarker Methods 694 Radionuclide Imaging 694 Echocardiography 694 Magnetic Resonance Imaging 694 Hemodynamic Disturbances 694 Hemodynamic Assessment 694 Hypotension 695 Low-Output State 695 Pulmonary Congestion 695 Cardiogenic Shock 696 Right Ventricular Infarction 697 Mechanical Causes of Heart Failure/Low-Output Syndrome 697 Diagnosis 697 Mitral Valve Regurgitation 697 Ventricular Septal Rupture After STEMI 698 Left Ventricular Free-Wall Rupture 698 Left Ventricular Aneurysm 698 Mechanical Support of the Failing Heart 698 Intra-Aortic Balloon Counterpulsation 698 Arrhythmias After STEMI 698 Ventricular Arrhythmias 698 Ventricular Fibrillation 698 Ventricular Tachycardia 699 Ventricular Premature Beats 699 Accelerated Idioventricular Rhythms and Accelerated Junctional Rhythms 699
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2004.07.002