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==Definition==
==Definition==
STEMI is a syndrome defined by symptoms of [[myocardial ischemia]] ([[chest pain]] and pressure, [[shortness of breath]]) associated with persistent [[ECG]] [[ST elevation]] and subsequent release of [[cardiac enzymes]].
[[ST elevation myocardial infarction]] ([[STEMI]]) is a syndrome defined by symptoms of [[myocardial ischemia]] ([[chest pain]] and pressure, [[shortness of breath]]) associated with persistent [[ECG]] [[ST elevation]] and subsequent release of [[cardiac enzymes]].


==Causes==
==Causes==

Revision as of 14:55, 3 March 2014


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]

Definition

ST elevation myocardial infarction (STEMI) is a syndrome defined by symptoms of myocardial ischemia (chest pain and pressure, shortness of breath) associated with persistent ECG ST elevation and subsequent release of cardiac enzymes.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. STEMI is a life-threatening condition and must be treated as such irrespective of the causes.

Common Causes

Management

Shown below is an algorithm summarizing the approach to [[STEMI]].

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

References


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