ST elevation myocardial infarction Post Hospitalization

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Pre-Hospital Care

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Pharmacologic Reperfusion
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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Inhibition of the Renin-Angiotensin-Aldosterone System
Magnesium Therapy
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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
Long Term Anticoagulation
Implantable Cardioverter Defibrillator
ICD implantation within 40 days of myocardial infarction
ICD within 90 days of revascularization

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

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

Class I
"1. Posthospital systems of care designed to prevent hospital readmissions should be used to facilitate the transition to effective, coordinated outpatient care for all patients with STEMI(Level of Evidence: B)"
"2. Exercise-based cardiac rehabilitation/secondary prevention programs are recommended for patients with STEMI(Level of Evidence: B)"
"3. A clear, detailed, and evidence-based plan of care that promotes medication adherence, timely follow-up with the healthcare team, appropriate dietary and physical activities, and compliance with interventions for secondary prevention should be provided to patients with STEMI(Level of Evidence: C)"
"4. Encouragement and advice to stop smoking and to avoid secondhand smoke should be provided to patients with STEMI(Level of Evidence: A)"

References

  1. American College of Emergency Physicians. Society for Cardiovascular Angiography and Interventions. O'Gara PT, Kushner FG, Ascheim DD, Casey DE; et al. (2013). "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.". J Am Coll Cardiol. 61 (4): 485–510. PMID 23256913. doi:10.1016/j.jacc.2012.11.018. 

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