PMID- 28581996 OWN - NLM STAT- MEDLINE DCOM- 20181018 LR - 20181018 IS - 2211-7466 (Electronic) IS - 2211-7458 (Linking) VI - 5 IP - 4 DP - 2016 Oct TI - In-Hospital ST Elevation Myocardial Infarction: Clinical Characteristics, Management Challenges, and Outcome. PG - 471-480 LID - S2211-7458(16)30060-8 [pii] LID - 10.1016/j.iccl.2016.06.005 [doi] AB - Timely reperfusion therapy reduces complications and improves survival in ST elevation myocardial infarction (STEMI). An effective chain of survival has been established for STEMIs occur in the community (outpatient STEMI). Recent studies have identified a subgroup of patients who develop STEMI while hospitalized for primary conditions, often not directly related to coronary artery disease (in-hospital STEMI or inpatient STEMI). This article summarizes current understanding of patient demographics, clinical characteristics, care delivery system and outcomes of in-hospital STEMI, comparing with outpatient STEMI. We also identified opportunities for quality improvement and proposed strategies and future directions to improve care for these patients. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Dai, Xuming AU - Dai X AD - Division of Cardiology, University of North Carolina at Chapel Hill, 160 Dental Circle, Chapel Hill, NC 27599, USA. Electronic address: xuming_dai@med.unc.edu. FAU - Garberich, Ross F AU - Garberich RF AD - Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, 920 East 28th Street, Suite 100, Minneapolis, MN 55407, USA. FAU - Jaski, Brian E AU - Jaski BE AD - San Diego Cardiac Center, Sharp Healthcare, 3131 Berger Avenue, San Diego, CA 92123, USA. FAU - Smith, Sidney C Jr AU - Smith SC Jr AD - Division of Cardiology, University of North Carolina at Chapel Hill, 160 Dental Circle, Chapel Hill, NC 27599, USA. FAU - Henry, Timothy D AU - Henry TD AD - Cedars-Sinai Heart Institute, 127 South San Vicente Boulevard, Suite A3100, Los Angeles, CA 90048, USA. LA - eng PT - Journal Article PT - Review DEP - 20160805 PL - Netherlands TA - Interv Cardiol Clin JT - Interventional cardiology clinics JID - 101615153 SB - IM MH - Hospitalization MH - Humans MH - *Inpatients MH - *Outpatients MH - *Percutaneous Coronary Intervention MH - ST Elevation Myocardial Infarction/*therapy MH - Treatment Outcome OTO - NOTNLM OT - Delivery of care OT - In-hospital STEMI OT - Myocardial infarction OT - Standardized protocol EDAT- 2017/06/06 06:00 MHDA- 2018/10/20 06:00 CRDT- 2017/06/06 06:00 PHST- 2017/06/06 06:00 [entrez] PHST- 2017/06/06 06:00 [pubmed] PHST- 2018/10/20 06:00 [medline] AID - S2211-7458(16)30060-8 [pii] AID - 10.1016/j.iccl.2016.06.005 [doi] PST - ppublish SO - Interv Cardiol Clin. 2016 Oct;5(4):471-480. doi: 10.1016/j.iccl.2016.06.005. Epub 2016 Aug 5.