ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction—Executive Summary

Anbe, Daniel T.; Armstrong, Paul W.; Bates, Eric R.; Green, Lee A.; Hand, Mary M.; Hochman, Judith S.; Krumholz, Harlan M.; Kushner, Frederick G.; Lamas, Gervasio A.; Mullany, Charles J.; Pearle, David L.; Sloan, Michael A.; Antman, Elliott M.; Smith, Sidney C.; Alpert, Joseph S.; Anderson, Jeffrey L.; Faxon, David P.; Fuster, Valentı́n; Gibbons, Raymond J.; Gregoratos, Gabriel; Halperin, Jonathan L.; Hiratzka, Loren F.; Hunt, Sharon A.; Jacobs, Alice K.; Ornato, Joseph P.

doi:10.1016/j.jacc.2004.07.002

Cited by 1,015 publications

(274 citation statements)

References 184 publications

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“…Given the relative infrequency of dissectionrelated coronary artery occlusion, the presence of ST-segment elevation suggestive of myocardial infarction should be treated as a primary cardiac event without delay for definitive aortic imaging unless the patient is at high risk for aortic dissection. 75,81,88 Class I…”

Section: Recommendations For Screening Testsmentioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

Hiratzka

Bakris

Beckman

et al. 2010

Cathet Cardio Intervent

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279

105

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Section: Recommendations For Screening Testsmentioning

confidence: 99%

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

Hiratzka

Bakris

Beckman

et al. 2010

Cathet Cardio Intervent

Self Cite

279

105

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“…6 Therefore, guidelines for MI strongly recommend activation of Emergency Medical Services (EMS) by patients who have symptoms consistent with AMI. 7 The EMS may dispatch personnel who are trained to treat life-threatening complications, such as cardiac arrest, with rapid defibrillation, if needed. Unfortunately, previous research shows that almost half of all AMI patients arrive at the hospital by means other than an ambulance.…”

Section: Introductionmentioning

confidence: 99%

Use of Emergency Medical Services in Patients with Acute Myocardial Infarction in China

Zhang

Wang

et al. 2009

Clinical Cardiology

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Background: Although guidelines strongly recommend use of the Emergency Medical Systems (EMS) by patients with acute myocardial infarction (AMI), it remains underutilized in western countries. Information about its current use in China is unclear. The objective of this study was to examine the use of the EMS by patients with AMI in China, and investigate factors affecting its use. Methods: A prospective survey study, which included 803 patients with AMI who were admitted to 21 hospitals in China between November 1, 2005 and December 31, 2006. Results: Only 39.5% of patients called up the EMS at the onset of symptoms (EMS group, n = 317), whereas the rest presented to the hospital by some other means (self-transport group, n = 486, 60.5%). Predictors of EMS users were older age, symptom onset at evening, unbearable symptoms, having received training and acquired knowledge on heart attack, as well as having a higher income and medical history of heart failure or stroke. Prehospital delay (median 110 min vs. 143 min, p < 0.001), door to needle time (median 85 min vs. 93 min, p < 0.005) and door-to-balloon time (median 118 min vs. 160 min, p < 0.001) were significantly shorter in the EMS group. The early reperfusion rate was also significantly higher in the EMS group (84.8% vs. 78.2%, p = 0.019), mainly because of a greater incidence of primary percutaneous coronary intervention (68.1% vs. 61.7%, p = 0.046). Conclusions:The emergency medical services are underutilized by patients with AMI in China. Use of the EMS may be advantageous in view of greater administration of reperfusion therapy. New public health strategies should be developed to facilitate greater use of the EMS for AMI.

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“…1 Nevertheless, myocardial damage is not immediately terminated after successful epicardial reperfusion by primary PCI. Current strategies are directed at improving myocardial tissue perfusion, which is impaired in Ϸ50% of patients and has prognostic impact.…”

mentioning

confidence: 99%

Intracoronary Compared With Intravenous Bolus Abciximab Application in Patients With ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

et al. 2008

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ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction—Executive Summary

Cited by 1,015 publications

References 184 publications

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease: Executive Summary

Use of Emergency Medical Services in Patients with Acute Myocardial Infarction in China

Intracoronary Compared With Intravenous Bolus Abciximab Application in Patients With ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

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