STEMI care 2021: Addressing the knowledge gaps
| Autor: | Spencer R. Wade, Timothy D. Henry, Mehmet Yildiz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
CS
cardiogenic shock medicine.medical_specialty Acute coronary syndrome Coronavirus disease 2019 (COVID-19) medicine.drug_class medicine.medical_treatment Review Article chemistry.chemical_compound Cangrelor medicine EMS emergency medical service OHCA out-of-hospital cardiac arrest cardiovascular diseases Myocardial infarction Intensive care medicine Cardiogenic shock DAPT dual antiplatelet therapy Out-of-hospital cardiac arrest Covid-19 coronavirus disease 2019 PCI percutaneous coronary intervention Regional systems business.industry Anticoagulant STEMI ST-segment elevation myocardial infarction Percutaneous coronary intervention CCL cardiac catheterization laboratory General Medicine medicine.disease ST-segment elevation myocardial infarction MCS mechanical circulatory support surgical procedures operative chemistry Conventional PCI TH therapeutic hypothermia Covid-19 business SARS-CoV-2 severe acute respiratory syndrome coronavirus-2 |
| Zdroj: | American Heart Journal plus |
| ISSN: | 2666-6022 |
| DOI: | 10.1016/j.ahjo.2021.100044 |
| Popis: | Tremendous progress has been made in the treatment of ST-segment elevation myocardial infarction (STEMI), the most severe and time-sensitive acute coronary syndrome. Primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion, which has stimulated the development of regional STEMI systems of care with standardized protocols designed to optimize care. However, challenges remain for patients with cardiogenic shock, out-of-hospital cardiac arrest, an expected delay to reperfusion (>120 min), in-hospital STEMI, and more recently, those with Covid-19 infection. Ultimately, the goal is to provide timely reperfusion with primary PCI coupled with the optimal antiplatelet and anticoagulant therapies. We review the challenges and provide insights into the remaining knowledge gaps for contemporary STEMI care. Graphical abstract STEMI Care 2021. EMS: emergency medical service; PCI: percutaneous coronary intervention; STEMI: ST-segment elevation myocardial infarction. Bar graph adapted with permission from Shah R.U. et al. [12].Unlabelled Image |
| Databáze: | OpenAIRE |
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