Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2004 Oct 26;171(9):1039-41.
doi: 10.1503/cmaj.1041417.

Applying the new STEMI guidelines: 1. Reperfusion in acute ST-segment elevation myocardial infarction

Peter Bogaty  1 , Christopher E Buller, Paul Dorian, Blair J O'Neill, Paul W Armstrong; Canadian Cardiovascular Society Working Group
Affiliations
Case Reports

Applying the new STEMI guidelines: 1. Reperfusion in acute ST-segment elevation myocardial infarction

Peter Bogaty et al. CMAJ. .

Erratum in

  • CMAJ. 2004 Nov 23;171(11):1327
No abstract available

PubMed Disclaimer

Figures

None
Fig. 1: Top: ECG taken soon after admission to emergency department, showing ST-segment elevation of 2–4 mm in precordial leads V1–V5. Bottom: ECG taken 35 minutes after the administration of fibrinolysis, showing nearly complete resolution of ST-segment elevation.
Box 1
Box 1
None
Fig. 2: Canadian Cardiovascular Society Working Group algorithm for the selection of patients for reperfusion after ST-segment myocardial infarction (STEMI). The algorithm applies to patients presenting within 12 hours after symptom onset; it assumes that the diagnosis of STEMI is not in doubt and indicates that, for the current majority of hospitals caring for non-high-risk STEMI patients, fibrinolysis is the preferred option. ECG = electrocardiogram, PCI = percutaneous coronary intervention. Reproduced with permission from reference 4.
See this image and copyright information in PMC

Comment in

  • Guidelines for STEMI.
    O'Donnell C, Verbeek R. O'Donnell C, et al. CMAJ. 2005 May 24;172(11):1425-6; author reply 1426. doi: 10.1503/cmaj.1041729. CMAJ. 2005. PMID: 15911844 Free PMC article. No abstract available.
  • Guidelines for STEMI.
    Cantor WJ, Morrison LJ. Cantor WJ, et al. CMAJ. 2005 May 24;172(11):1425; author reply 1426. doi: 10.1503/cmaj.1041728. CMAJ. 2005. PMID: 15911845 Free PMC article. No abstract available.

References

    1. Randomised trial of intravenous streptokinase, oral aspirin, both, or neither among 17,187 cases of suspected acute myocardial infarction: ISIS-2. ISIS-2 (Second International Study of Infarct Survival) Collaborative Group. Lancet 1988;2:349-60. - PubMed
    1. Boersma E, Maas AC, Deckers JW, Simoons ML. Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 1996;348:771-5. - PubMed
    1. Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). Circulation 2004;110: 588-636. - PubMed
    1. Armstrong PW, Bogaty P, Buller CE, Dorian P, O'Neill BJ. The 2004 ACC/ AHA Guidelines: a perspective and adaptation for Canada by the Canadian Cardiovascular Society Working Group. Can J Cardiol 2004; 20 (11):1075-79. - PubMed

Publication types

MeSH terms