STEMI and Out-of-Hospital Cardiac Arrest

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STEMI and Out-of-Hospital Cardiac Arrest
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Reperfusion Therapy (Overview of Fibrinolysis and Primary PCI)
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Reperfusion at a Non–PCI-Capable Hospital:Recommendations
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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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Case #4

Case #5

STEMI and Out-of-Hospital Cardiac Arrest On the Web

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Risk calculators and risk factors for STEMI and Out-of-Hospital Cardiac Arrest

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

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

Evaluation and Management of Patients With STEMI and Out-of-Hospital Cardiac Arrest (DO NOT EDIT)[1]

Class I
"1. Therapeutic hypothermia should be started as soon as possible in comatose patients with STEMI and out-of-hospital cardiac arrest caused by ventricular fibrillation or pulseless ventricular tachycardia, including patients who undergo primary PCI.[2][3][4] (Level of Evidence: B)"
"2. Immediate angiography and PCI when indicated should be performed in resuscitated out-of-hospital cardiac arrest patients whose initial ECG shows STEMI.[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] (Level of Evidence: B)"

References

  1. 1.0 1.1 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. PMID 23247303. doi:10.1161/CIR.0b013e3182742c84.  Unknown parameter |month= ignored (help)
  2. Peberdy MA, Callaway CW, Neumar RW; et al. (2010). "Part 9: post-cardiac arrest care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care". Circulation. 122 (18 Suppl 3): S768–86. PMID 20956225. doi:10.1161/CIRCULATIONAHA.110.971002.  Unknown parameter |month= ignored (help)
  3. Bernard SA, Gray TW, Buist MD; et al. (2002). "Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia". N. Engl. J. Med. 346 (8): 557–63. PMID 11856794. doi:10.1056/NEJMoa003289.  Unknown parameter |month= ignored (help)
  4. "Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest". N. Engl. J. Med. 346 (8): 549–56. 2002. PMID 11856793. doi:10.1056/NEJMoa012689.  Unknown parameter |month= ignored (help)
  5. Nichol G, Aufderheide TP, Eigel B; et al. (2010). "Regional systems of care for out-of-hospital cardiac arrest: A policy statement from the American Heart Association". Circulation. 121 (5): 709–29. PMID 20075331. doi:10.1161/CIR.0b013e3181cdb7db.  Unknown parameter |month= ignored (help)
  6. Bendz B, Eritsland J, Nakstad AR; et al. (2004). "Long-term prognosis after out-of-hospital cardiac arrest and primary percutaneous coronary intervention". Resuscitation. 63 (1): 49–53. PMID 15451586. doi:10.1016/j.resuscitation.2004.04.006.  Unknown parameter |month= ignored (help)
  7. Borger van der Burg AE, Bax JJ, Boersma E; et al. (2003). "Impact of percutaneous coronary intervention or coronary artery bypass grafting on outcome after nonfatal cardiac arrest outside the hospital". Am. J. Cardiol. 91 (7): 785–9. PMID 12667561.  Unknown parameter |month= ignored (help)
  8. Bulut S, Aengevaeren WR, Luijten HJ, Verheugt FW (2000). "Successful out-of-hospital cardiopulmonary resuscitation: what is the optimal in-hospital treatment strategy?". Resuscitation. 47 (2): 155–61. PMID 11008153.  Unknown parameter |month= ignored (help)
  9. Garot P, Lefevre T, Eltchaninoff H; et al. (2007). "Six-month outcome of emergency percutaneous coronary intervention in resuscitated patients after cardiac arrest complicating ST-elevation myocardial infarction". Circulation. 115 (11): 1354–62. PMID 17353440. doi:10.1161/CIRCULATIONAHA.106.657619.  Unknown parameter |month= ignored (help)
  10. Gorjup V, Radsel P, Kocjancic ST, Erzen D, Noc M (2007). "Acute ST-elevation myocardial infarction after successful cardiopulmonary resuscitation". Resuscitation. 72 (3): 379–85. PMID 17161902. doi:10.1016/j.resuscitation.2006.07.013.  Unknown parameter |month= ignored (help)
  11. Hosmane VR, Mustafa NG, Reddy VK; et al. (2009). "Survival and neurologic recovery in patients with ST-segment elevation myocardial infarction resuscitated from cardiac arrest". J. Am. Coll. Cardiol. 53 (5): 409–15. PMID 19179198. doi:10.1016/j.jacc.2008.08.076.  Unknown parameter |month= ignored (help)
  12. Kahn JK, Glazier S, Swor R, Savas V, O'Neill WW (1995). "Primary coronary angioplasty for acute myocardial infarction complicated by out-of-hospital cardiac arrest". Am. J. Cardiol. 75 (15): 1069–70. PMID 7747692.  Unknown parameter |month= ignored (help)
  13. Keelan PC, Bunch TJ, White RD, Packer DL, Holmes DR (2003). "Early direct coronary angioplasty in survivors of out-of-hospital cardiac arrest". Am. J. Cardiol. 91 (12): 1461–3, A6. PMID 12804734.  Unknown parameter |month= ignored (help)
  14. Kern KB, Rahman O (2010). "Emergent percutaneous coronary intervention for resuscitated victims of out-of-hospital cardiac arrest". Catheter Cardiovasc Interv. 75 (4): 616–24. PMID 20049976. doi:10.1002/ccd.22192.  Unknown parameter |month= ignored (help)
  15. Marcusohn E, Markusohn E, Roguin A; et al. (2007). "Primary percutaneous coronary intervention after out-of-hospital cardiac arrest: patients and outcomes". Isr. Med. Assoc. J. 9 (4): 257–9. PMID 17491217.  Unknown parameter |month= ignored (help)
  16. Pleskot M, Babu A, Hazukova R; et al. (2008). "Out-of-hospital cardiac arrests in patients with acute ST elevation myocardial infarctions in the East Bohemian region over the period 2002-2004". Cardiology. 109 (1): 41–51. PMID 17627108. doi:10.1159/000105325. 
  17. Quintero-Moran B, Moreno R, Villarreal S; et al. (2006). "Percutaneous coronary intervention for cardiac arrest secondary to ST-elevation acute myocardial infarction. Influence of immediate paramedical/medical assistance on clinical outcome". J Invasive Cardiol. 18 (6): 269–72. PMID 16751680.  Unknown parameter |month= ignored (help)
  18. Richling N, Herkner H, Holzer M, Riedmueller E, Sterz F, Schreiber W (2007). "Thrombolytic therapy vs primary percutaneous intervention after ventricular fibrillation cardiac arrest due to acute ST-segment elevation myocardial infarction and its effect on outcome". Am J Emerg Med. 25 (5): 545–50. PMID 17543659. doi:10.1016/j.ajem.2006.10.014.  Unknown parameter |month= ignored (help)
  19. Spaulding CM, Joly LM, Rosenberg A; et al. (1997). "Immediate coronary angiography in survivors of out-of-hospital cardiac arrest". N. Engl. J. Med. 336 (23): 1629–33. PMID 9171064. doi:10.1056/NEJM199706053362302.  Unknown parameter |month= ignored (help)
  20. Werling M, Thorén AB, Axelsson C, Herlitz J (2007). "Treatment and outcome in post-resuscitation care after out-of-hospital cardiac arrest when a modern therapeutic approach was introduced". Resuscitation. 73 (1): 40–5. PMID 17241730. doi:10.1016/j.resuscitation.2006.08.018.  Unknown parameter |month= ignored (help)

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