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Editorial
. 2018 Oct 20;18(1):35.
doi: 10.1186/s12873-018-0187-0.

High time to omit oxygen therapy in ST elevation myocardial infarction

Ardavan Khoshnood  1   2
Affiliations
Editorial

High time to omit oxygen therapy in ST elevation myocardial infarction

Ardavan Khoshnood. BMC Emerg Med. .

Abstract

Supplemental oxygen (O2) therapy in patients with chest pain has been a cornerstone in the treatment of suspected myocardial infarction (MI). Recent randomized controlled trials have, however, shown that supplemental O2 therapy has no positive nor negative effects on cardiovascular functions, mortality, morbidity or pain in normoxic patients with suspected MI and foremost patients with ST Elevation Myocardial Infarction (STEMI). O2 therapy in normoxic STEMI patients should therefore be omitted. More studies are needed in discussing hemodynamically unstable STEMI patients, as well as patients with non-STEMI, unstable angina and other emergency conditions.

Keywords: Emergency medicine; Oxygen; Oxygen therapy; Pathology; Physiology; ST elevation myocardial infarction; STEMI.

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Conflict of interest statement

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Not applicable.

Consent for publication

Not applicable.

Competing interests

Dr. Khoshnood have authored several articles on the role of supplemental O2 therapy in patients with myocardial infarction and STEMI. Dr. Khoshnood is also an Associate Editor at the BMC Emergency Medicine.

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Figures

Fig. 1
Fig. 1
Suggestion on how to manage patients with ST Elevation Myocardial Infarction (STEMI) both in a prehospital setting and in-hospital
See this image and copyright information in PMC

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