PMID- 20802265
OWN - NLM
STAT- MEDLINE
DCOM- 20101222
LR  - 20100830
IS  - 1535-2811 (Electronic)
IS  - 1535-2811 (Linking)
VI  - 9
IP  - 3
DP  - 2010 Sep
TI  - Perspectives on the 2009 focused updates on the management of ST-segment 
      elevation myocardial infarction and percutaneous intervention.
PG  - 126-33
LID - 10.1097/HPC.0b013e3181eaf53b [doi]
AB  - The American College of Cardiology, American Heart Association and Society of 
      Angiography and Intervention recently published updated guidelines for management 
      of patients with acute ST elevation myocardial infarction (STEMI) and 
      percutaneous coronary intervention (PCI). In this article, we highlight the most 
      important new recommendations and review the supporting data. Key aspects of 
      these updates include guidance regarding the selection of antithrombotic therapy, 
      caution in treating hyperglycemia with insulin, and opinion that insufficient 
      data currently exist to recommend against concomitant administration of proton 
      pump inhibitors and thienopyridines. New interventional recommendations include 
      support for aspiration thrombectomy, drug eluting stents, PCI of unprotected left 
      main disease, and use of fractional flow reserve to guide whether PCI is 
      warranted in symptomatic patients with intermediate coronary stenoses. As these 
      guidelines represent a synopsis of the most recently available data in the 
      management of patients with STEMI, health care providers should familiarize 
      themselves with these updated recommendations to ensure optimal treatment of 
      their patients.
FAU - Thomas, Deepak
AU  - Thomas D
AD  - Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA 
      02115, USA.
FAU - Giugliano, Robert P
AU  - Giugliano RP
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PL  - United States
TA  - Crit Pathw Cardiol
JT  - Critical pathways in cardiology
JID - 101165286
SB  - IM
MH  - American Heart Association
MH  - Angioplasty, Balloon, Coronary/instrumentation/*methods/mortality
MH  - Drug-Eluting Stents
MH  - *Electrocardiography
MH  - Female
MH  - Forecasting
MH  - Humans
MH  - Male
MH  - Myocardial Infarction/*diagnosis/mortality/*therapy
MH  - Practice Guidelines as Topic
MH  - Quality of Health Care
MH  - Severity of Illness Index
MH  - *Stents
MH  - Survival Rate
MH  - Treatment Outcome
MH  - United States
EDAT- 2010/08/31 06:00
MHDA- 2010/12/24 06:00
CRDT- 2010/08/31 06:00
PHST- 2010/08/31 06:00 [entrez]
PHST- 2010/08/31 06:00 [pubmed]
PHST- 2010/12/24 06:00 [medline]
AID - 00132577-201009000-00004 [pii]
AID - 10.1097/HPC.0b013e3181eaf53b [doi]
PST - ppublish
SO  - Crit Pathw Cardiol. 2010 Sep;9(3):126-33. doi: 10.1097/HPC.0b013e3181eaf53b.