Treatment of acute coronary syndrome: part 2: ST-segment elevation myocardial infarction
Jeffrey C Trost1, Richard A Lange
1Johns Hopkins School of Medicine, Baltimore, MD, USA. jtrost2@jhmi.edu
Objective:
Familiarize clinicians with recent information regarding the diagnosis and treatment of ST-segment elevation myocardial infarction.
Data Sources:
PubMed search and review of relevant medical literature.
Summary:
Definition, pathophysiology, clinical presentation, diagnosis, and treatment of ST-segment elevation myocardial infarction are reviewed.
Conclusions:
Patients with ST-segment elevation myocardial infarction benefit from prompt reperfusion therapy. Adjunctive antianginal, antiplatelet, antithrombotic, beta blocker, angiotensin-converting enzyme inhibitor, and statin agents minimize ongoing cardiac ischemia, prevent thrombus propagation, and reduce the risk of recurrent cardiovascular events.
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