Chapter 4. ST-Segment-Elevation Myocardial Infarction

  1. Eli V. Gelfand Director of Ambulatory Cardiology1 and
  2. Christopher P. Cannon Senior Investigator Associate Professor2,3,4
  1. Eli V. Gelfand Director of Ambulatory Cardiology1 and
  2. Christopher P. Cannon Senior Investigator Associate Professor2,3,4

Published Online: 9 APR 2009

DOI: 10.1002/9780470745465.ch4

Management of Acute Coronary Syndromes

Management of Acute Coronary Syndromes

How to Cite

Gelfand, E. V. and Cannon, C. P. (2009) ST-Segment-Elevation Myocardial Infarction, in Management of Acute Coronary Syndromes (eds E. V. Gelfand and C. P. Cannon), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470745465.ch4

Editor Information

  1. 1

    Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

  2. 2

    TIMI Study Group, Boston, Massachusetts, USA

  3. 3

    Brigham and Women's Hospital, Boston, Massachusetts, USA

  4. 4

    Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. 1

    Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

  2. 2

    TIMI Study Group, Boston, Massachusetts, USA

  3. 3

    Brigham and Women's Hospital, Boston, Massachusetts, USA

  4. 4

    Harvard Medical School, Boston, Massachusetts, USA

Publication History

  1. Published Online: 9 APR 2009
  2. Published Print: 17 APR 2009

ISBN Information

Print ISBN: 9780470725573

Online ISBN: 9780470745465

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Keywords:

  • ST-segment-elevation myocardial infarction;
  • dominant reperfusion strategy for STEMI patients in US;
  • primary reperfusion therapy for STEMI;
  • contraindications to fibrinolytic therapy;
  • combination fibrinolysis;
  • TIMI flow grade;
  • primary percutaneous coronary intervention;
  • PCI following fibrinolytic therapy;
  • adjunctive pharmacologic treatment of STEMI

Summary

This chapter contains sections titled:

  • Introduction

  • Global treatment goals in STEMI

  • Prehospital management and triage

  • Transport decisions

  • Management prior to reperfusion

  • Primary reperfusion therapy for STEMI

  • Primary percutaneous coronary intervention

  • Comparison of PCI with fibrinolysis

  • PCI following fibrinolytic therapy

  • Overall reperfusion strategy

  • Coronary artery bypass grafting for treatment of STEMI

  • Adjunctive pharmacologic treatment of STEMI

  • References