Sandbox: STEMI: Difference between revisions

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===Changes in Recommendations===
===Changes in Recommendations===


===What is new in 2017 Guidelines on AMI-STEMI===
===What is new in 2017 Guidelines on AMI-STEMI?===


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Revision as of 14:13, 27 October 2017

2017 ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation

Changes in Recommendations

What is new in 2017 Guidelines on AMI-STEMI?

2012 2017
Radial access Radial access (MATRIX)
DES over BMS DES over BMS (EXAMINATION, COMFORTABLE-AMI, NORSTENT)
Complete Revascularization Complete Revascularization (PRAMI, DANAMI-3-PRIMULTI, CVLPRIT, Compare-Acute)
Complete Revascularization Thrombus Aspiration (TOTAL, TASTE)
Bivalirudin Bivalirudin (MATRIX, HEAT-PPCI)
Enoxaparin Enoxaparin (ATOLL, Meta-analysis)
Early Hospital Discharge Early Hospital Discharge (Small trials & observational data)
(Oxygen when SaO2 <95%) OXYGEN OXYGEN (Oxygen when SaO2 <90%) AVOID, DETO2X
(Same dose i.V in all patients) TNK-tPA TNK-tPA (Half dose i.V. in Pts ≥75 years, STREAM)