[Acute myocardial infarction with ST-segment elevation: Code I].

Area of Science:

• Cardiology
• Emergency Medicine

Background:

• Acute myocardial infarction (AMI) with ST-segment elevation (STEMI) is a major cause of mortality worldwide.
• Primary percutaneous coronary intervention (PCI) is a key treatment strategy for STEMI.
• Effective and timely reperfusion remains a challenge in AMI management.

Purpose of the Study:

• To review current strategies for managing patients with acute myocardial infarction.
• To highlight the importance of timely reperfusion in STEMI treatment.
• To discuss the impact of PCI on patient survival and quality of life.

Main Methods:

• Literature review of current management strategies for STEMI.
• Analysis of the effectiveness of primary PCI in reducing mortality.
• Examination of challenges in optimizing reperfusion times.

Main Results:

• Primary PCI has demonstrably increased survival and quality of life for STEMI patients globally.
• Mortality due to AMI has been significantly reduced in institutions implementing PCI strategies, such as IMSS (over 50% reduction).
• Optimizing management and disposition processes is essential for timely reperfusion.

Conclusions:

• Primary PCI is a vital strategy for STEMI treatment, significantly improving patient outcomes.
• Continuous improvement and wider coverage of PCI are critical for altering the natural history of AMI in Mexico.
• Addressing management and disposition challenges is key to enhancing reperfusion efficiency and further reducing mortality.