title: Risk assessment in patients with an acute ST-elevation myocardial infarction.
abstract: ST-elevation myocardial infarction (STEMI) is one of the leading causes of mortality and morbidity worldwide. While the survival after acute STEMI has considerably improved, mortality rate still remains high, especially in high-risk patients. Survival after acute STEMI is influenced by clinical characteristics such as age as well as the presence of comorbidities. However, during emergency care increasing access to tools such as the electrocardiogram, chest x-ray and echocardiography can provide additional information helping to further risk stratify patients. In the invasive setting, this can also include coronary angiography, invasive hemodynamic recordings and angiographic assessments of coronary flow and myocardial perfusion. We outline the common investigations used in STEMI and their role in risk assessment of patients with an acute STEMI.
authors: BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.|Golden Jubilee National Hospital, Clydebank, UK.
authors: Nadeem
authors: N
authors: Ahmed
authors: BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.|Golden Jubilee National Hospital, Clydebank, UK.
authors: Jaclyn
authors: J
authors: Carberry
authors: BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.|Golden Jubilee National Hospital, Clydebank, UK.
authors: Vannesa
authors: V
authors: Teng
authors: BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.|Golden Jubilee National Hospital, Clydebank, UK.
authors: David
authors: D
authors: Carrick
authors: BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.|Golden Jubilee National Hospital, Clydebank, UK.
authors: Colin
authors: C
authors: Berry
mesh_terms: D017023:Coronary Angiography; D004562:Electrocardiography; D004632:Emergency Medical Services; D006801:Humans; D009203:Myocardial Infarction; D018570:Risk Assessment; D000072657:ST Elevation Myocardial Infarction / Q000000981:diagnostic imaging*
keywords: STEMI; cardiac MRI; cardiology/cardiovascular; coronary angiography; echocardiography; evidence-based medicine; invasive hemodynamics; plasma biomarkers; risk assessment; risk scoring