Acute reperfusion therapy in acute myocardial infarction.
The ECG classification of acute myocardial infarctions has had a profound influence on the treatment of patients with AMI. Deciding whether a patient has ST-segment elevations or a new left bundle branch block or neither of these findings on ECG launches the treating physician down two different treatment pathways: patients with ST-elevation MI need to be assessed for immediate re-perfusion therapy, whereas patients with non-ST-elevation MI are best treated with aggressive medical management without acute reperfusion.
Ghaemmaghami
Chris A
CA
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, 22908-0699, USA. cg3n@virginia.edu
Burt
David R
DR
D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*; D015425:Myocardial Reperfusion / Q000379:methods*; D013997:Time Factors