Sandbox: STEMI
2017 ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation
Changes in Recommendations
What is new in 2017 Guidelines on AMI-STEMI?
2012 | 2017 |
---|---|
Radial access | Radial access (MATRIX) |
DES over BMS | DES over BMS (EXAMINATION, COMFORTABLE-AMI, NORSTENT) |
Complete Revascularization | Complete Revascularization (PRAMI, DANAMI-3-PRIMULTI, CVLPRIT, Compare-Acute) |
Complete Revascularization | Thrombus Aspiration (TOTAL, TASTE) |
Bivalirudin | Bivalirudin (MATRIX, HEAT-PPCI) |
Enoxaparin | Enoxaparin (ATOLL, Meta-analysis) |
Early Hospital Discharge | Early Hospital Discharge (Small trials & observational data) |
(Oxygen when SaO2 <95%) OXYGEN | OXYGEN (Oxygen when SaO2 <90%) AVOID, DETO2X |
(Same dose i.V in all patients) TNK-tPA | TNK-tPA (Half dose i.V. in Pts ≥75 years, STREAM) |