Treatment & guidelines

Aims

  • Prevent death
  • Minimise patient's discomfort and distress
  • Limit the extent of myocardial damage

Strategy

Re-establish myocardial reperfusion before irreversible damage occurs:

  • Mechanically (percutaneous coronary intervention)
  • Pharmacologically (induction of thrombolysis using a fibrinolytic/thrombolytic agent). Please refer to section “Why Metalyse®?” for more information about pharmacological reperfusion and pre-hospital thrombolysis.

 

REMEMBER: TIME IS MUSCLE

 

ESC STEMI reperfusion treatment guidelines 2012

ESC  STEMI  reperfusion  treatment  guideline  2012  Time FMC to first balloon inflation must be shorter than 90 min after onset of symptoms. If PCI is not possible <2 h of FMC, fibrinolytic therapy should be initiated immediately.

References: 
  1. Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC), Steg G, et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 2012;33:2569-2619.
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