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Review
. 2022 Feb 16:11:20480040221075519.
doi: 10.1177/20480040221075519. eCollection 2022 Jan-Dec.

Advances in the treatment of ST Elevation Myocardial Infarction in the UK

Lal Hussain Mughal  1 , Sanjay Sastry  2
Affiliations
Review

Advances in the treatment of ST Elevation Myocardial Infarction in the UK

Lal Hussain Mughal et al. JRSM Cardiovasc Dis. .

Abstract

The treatment of acute coronary occlusion with Primary PCI has been a major factor in improving outcomes of patients suffering STEMI in the last 15 years, and is the standard treatment for patients suffering STEMI in the UK. Treatment is beneficial for patients presenting within 12 hours of the onset of symptoms, with the goal being opening of the occluded artery within 150 min of the call for help. Opening of the occluded artery is typically completed with a drug-eluting stent followed by administration of antiplatelet medications for 12 months. Procedures are performed using the radial artery which is associated with improved outcomes compared to vascular access via the femoral artery. Evidence is growing to support full revascularisation including the treatment of severe narrowing in other blood vessels as well as the culprit vessel.

Keywords: STEMI; acute coronary occlusion; balloons and stents; primary percutaneous coronary intervention.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flow chart showing STEMI timeline. FMC- First Medical contact. CTB-call to balloon time. DTB- Door to balloon time(after arrival at PPCI centre).
See this image and copyright information in PMC

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