ST elevation myocardial infarction discharge care

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Reperfusion Therapy (Overview of Fibrinolysis and Primary PCI)
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The importance of reducing Door-to-Balloon times
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Pre-Discharge Care

Recommendations for Perioperative Management–Timing of Elective Noncardiac Surgery in Patients Treated With PCI and DAPT

Post Hospitalization Plan of Care

Long-Term Medical Therapy and Secondary Prevention

Overview
Inhibition of the Renin-Angiotensin-Aldosterone System
Cardiac Rehabilitation
Pacemaker Implantation
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Implantable Cardioverter Defibrillator
ICD implantation within 40 days of myocardial infarction
ICD within 90 days of revascularization

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Risk calculators and risk factors for ST elevation myocardial infarction discharge care

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

2013 Revised ACCF/AHA Guidelines for the Management of ST-Elevation Myocardial Infarction (DO NOT EDIT)[1]

Implantable Cardioverter-Defibrillator Therapy Before Discharge (DO NOT EDIT)[1]

Class I
"1. Implantable cardioverter-defibrillator therapy is indicated before discharge in patients who develop sustained ventricular tachycardia/ventricular fibrillation more than 48 hours after STEMI, provided the arrhythmia is not due to transient or reversible ischemia, reinfarction, or metabolic abnormalities.[2][3][4](Level of Evidence: B)"

Noninvasive Testing for Ischemia Before Discharge (DO NOT EDIT)[1]

Sources

  • 2013 Revised ACCF/AHA Guidelines for the Management of ST-Elevation Myocardial Infarction (DO NOT EDIT)[1]

References

  1. ↑ 1.0 1.1 1.2 1.3 O'Gara PT, Kushner FG, Ascheim DD; et al. (2012). "2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e3182742c84. PMID 23247303. Unknown parameter |month= ignored (help)
  2. ↑ Wever EF, Hauer RN, van Capelle FL; et al. (1995). "Randomized study of implantable defibrillator as first-choice therapy versus conventional strategy in postinfarct sudden death survivors". Circulation. 91 (8): 2195–203. PMID 7697849. Unknown parameter |month= ignored (help)
  3. ↑ Siebels J, Kuck KH (1994). "Implantable cardioverter defibrillator compared with antiarrhythmic drug treatment in cardiac arrest survivors (the Cardiac Arrest Study Hamburg)". Am. Heart J. 127 (4 Pt 2): 1139–44. PMID 8160593. Unknown parameter |month= ignored (help)
  4. ↑ Connolly SJ, Hallstrom AP, Cappato R; et al. (2000). "Meta-analysis of the implantable cardioverter defibrillator secondary prevention trials. AVID, CASH and CIDS studies. Antiarrhythmics vs Implantable Defibrillator study. Cardiac Arrest Study Hamburg . Canadian Implantable Defibrillator Study". Eur. Heart J. 21 (24): 2071–8. doi:10.1053/euhj.2000.2476. PMID 11102258. Unknown parameter |month= ignored (help)


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