title: The acute management of ST-segment-elevation myocardial infarction.
abstract: Acute ST-segment-elevation myocardial infarction (STEMI) results from complete obstruction to coronary artery blood flow accompanied by the appearance of ST-segment-elevation on the electrocardiogram. Emergency treatment is required to restore coronary perfusion, thereby limiting the extent of damage to the myocardium and the likelihood of early death or future heart failure. This concise guideline summarises key recommendations from the National Institute for Health and Care Excellence clinical guideline on acute management of STEMI (CG167), of relevance to all healthcare professionals involved. Guidance is presented on choice of reperfusion strategies, procedural aspects, use of additional drugs before and alongside reperfusion therapies, and treatment of patients who are unconscious or in cardiogenic shock.
authors.affiliation: National Clinical Guideline Centre, Care Quality Improvement Department, Royal College of Physicians, London, UK serena.carville@rcplondon.ac.uk.
authors.forename: Serena F
authors.initials: SF
authors.lastname: Carville
authors.affiliation: Trent Cardiac Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Robert
authors.initials: R
authors.lastname: Henderson
authors.affiliation: Wessex Cardiac Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors.forename: Huon
authors.initials: H
authors.lastname: Gray
mesh_terms: D019468:Disease Management; D004562:Electrocardiography; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*
keywords: STEMI; fibrinolysis; myocardial infarction; myocardial ischaemia; primary percutaneous coronary intervention; reperfusion; thrombolysis