ST elevation myocardial infarction

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 * Associate Editor(s)-In-Chief: Anne-Marie Anagnostopoulos, M.D.; Debanik Chaudhuri, M.D.; Robert Salazar, M.D.

Keywords and synonyms: AMI, STEMI, heart attack, MI, myocardial infarct, acute MI, coronary, coronary thrombosis

Pathophysiology
Pathophysiology of Vessel Occlusion | Pathophysiology of Reperfusion

Diagnosis
Diagnostic Criteria | Symptoms | Physical Examination | Electrocardiogram | Coronary Angiography | Gross Pathology | Histopathology

Initial Care
Oxygen | Nitrates | Analgesics | Aspirin | Beta Blockers | Antithrombins | The coronary care unit | The step down unit

Pharmacologic Reperfusion | Reperfusion Therapy (Overview of Fibrinolysis and Primary PCI) | Fibrinolysis

Mechanical Reperfusion | The importance of reducing Door-to-Balloon times | Primary PCI | Adjunctive and Rescue PCI | Rescue PCI  | Facilitated PCI | Adjunctive PCI | CABG | Management of Patients Who Were Not Reperfused | Assessing Success of Reperfusion

Antithrombin Therapy • Antithrombin therapy • Unfractionated heparin  •  Low Molecular Weight Heparinoid Therapy •  Direct Thrombin Inhibitor Therapy •  Factor Xa Inhibition • DVT prophylaxis •  Long term anticoagulation

Antiplatelet Agents | Aspirin | Thienopyridine Therapy | Glycoprotein IIbIIIa Inhibition

Other Initial Therapy |  Inhibition of the Renin-Angiotensin-Aldosterone System | Magnesium Therapy |  Glucose Control | Calcium Channel Blocker Therapy

Discharge Care
Secondary Prevention | Inhibition of the Renin-Angiotensin-Aldosterone System | Cardiac Rehabilitation | Prognosis | Pacemaker Implantation | Long term anticoagulation

Overview
Ischemic Complications: Reinfarction

Mechanical Complications:Cardiogenic shock  |   Left ventricular aneurysm   |   Myocardial rupture   |   Pseudoaneurysm   |   Papillary muscle rupture   | Rupture of the ventricular septum

Arrhythmic Complications:  Sudden cardiac death

Embolic Complications:  Stroke | DVT

Pericarditis: Post myocardial infarction pericarditis   |   Dressler's syndrome

Related Chapters

 * The Living Guidelines: STEMI
 * In suggesting edits to the guidelines, WikiDoc suggests that the following classification scheme used by the ACC / AHA guidelines. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

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