Management of patients after primary percutaneous coronary intervention for myocardial infarction
| Autor: | Christos Voukalis, Fatima Dalal, Hasnain M Dalal, Manish Gandhi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment MEDLINE Myocardial Infarction Aftercare Health Promotion 030204 cardiovascular system & hematology Cochrane Library 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Postoperative Complications Internal medicine medicine Secondary Prevention Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Secondary prevention Postoperative Care business.industry Percutaneous coronary intervention General Medicine After discharge medicine.disease Coronary heart disease Emergency medicine Conventional PCI Cardiology business |
| Zdroj: | BMJ (Clinical research ed.). 358 |
| ISSN: | 1756-1833 |
| Popis: | What you need to know For those who present with an acute ST elevation myocardial infarction (STEMI) in the UK, nearly 90% are treated with a primary angioplasty within 90 minutes of arrival at hospital.1 One out of every seven deaths is due to coronary heart disease, with one person having a “heart attack” every 40 seconds, based on US data.2 In the UK, 288 per 100 000 people visit hospital with a suspected heart attack each year.3 Patients are usually discharged three days after treatment for a STEMI with an uncomplicated primary percutaneous coronary intervention (PCI).1 4 They may present in the community for further advice shortly after discharge, so close collaboration between the cardiologist and the wider healthcare team is essential.5 This article provides an update on the immediate and longer term management of such patients (see fig 1⇓). Fig 1 Management of patients after an acute ST elevation myocardial infarction #### Sources and selection criteria We searched PubMed, Cochrane Library, Medline, and Google using the terms “secondary prevention after a myocardial infarction,” “secondary prevention after a heart attack,” … |
| Databáze: | OpenAIRE |
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