Sandbox: STEMI
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)