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
Review
. 2021 Mar;30(1):67-75.
doi: 10.1055/s-0041-1723944. Epub 2021 Mar 24.

Management of ST Elevation Myocardial Infarction (STEMI) in Different Settings

Rod Partow-Navid  1   2 , Narut Prasitlumkum  1   2 , Ashish Mukherjee  1   2 , Padmini Varadarajan  1   2 , Ramdas G Pai  1   2
Affiliations
Review

Management of ST Elevation Myocardial Infarction (STEMI) in Different Settings

Rod Partow-Navid et al. Int J Angiol. 2021 Mar.

Abstract

ST-segment elevation myocardial infarction (STEMI) is a life-threatening condition that requires emergent, complex, well-coordinated treatment. Although the primary goal of treatment is simple to describe-reperfusion as quickly as possible-the management process is complicated and is affected by multiple factors including location, patient, and practitioner characteristics. Hence, this narrative review will discuss the recommended management and treatment strategies of STEMI in the circumstances.

Keywords: PCI; STEMI; acute coronary syndrome; different settings; management; review article; thrombolysis.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
General ST-segment elevation myocardial infarction (STEMI) framework—Further triaging of STEMI patient.
See this image and copyright information in PMC

References

    1. Executive Group on behalf of the Joint European Society of Cardiology (ESC)/American College of Cardiology (ACC)/American Heart Association (AHA)/World Heart Federation (WHF) Task Force for the Universal Definition of Myocardial Infarction . Thygesen K, Alpert J S, Jaffe A S. Fourth Universal Definition of Myocardial Infarction (2018) Circulation. 2018;138(20):e618–e651. - PubMed
    1. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee . Benjamin E J, Muntner P, Alonso A. Heart Disease and Stroke Statistics-2019 Update: A Report From the American Heart Association. Circulation. 2019;139(10):e56–e528. - PubMed
    1. Torio C MMB. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006. National inpatient hospital costs: the most expensive conditions by payer, 2013, Statistical Brief #204. - PubMed
    1. Braunwald E. The treatment of acute myocardial infarction: the past, the present, and the future. Eur Heart J Acute Cardiovasc Care. 2012;1(01):9–12. - PMC - PubMed
    1. Comparison of Angioplasty and Prehospital Thrombolysis In acute Myocardial infarction (CAPTIM) Investigators . Steg P G, Bonnefoy E, Chabaud S. Impact of time to treatment on mortality after prehospital fibrinolysis or primary angioplasty: data from the CAPTIM randomized clinical trial. Circulation. 2003;108(23):2851–2856. - PubMed