ST-segment myocardial infarction (STEMI) is a time-sensitive emergency that requires swift and seamless integration of prehospital and emergency department resources in order to achieve early diagnosis and reperfusion therapy.
Our recent issue Evaluation and Management of ST-Segment Elevation Myocardial Infarction in the Emergency Department reviews the current literature on emergency department management of STEMI, including recognition of more subtle diagnoses on electrocardiogram, identification of STEMI mimics, an update on treatment therapies, and strategies to achieve more effective management of STEMI across gender and age groups.
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Here are a few key points:
- The goals of prehospital management of STEMI are early recognition, administration of aspirin, and timely transport to a PCI-capable facility for reperfusion.
- Patients with suspected ACS should have an ECG performed within 10 minutes of the first medical contact, and serial ECGs should be performed liberally to monitor for changes.
- Echocardiography is a noninvasive way to assess for regional wall motion abnormalities or other pathologic findings, and it can help confirm a diagnosis.
Last Updated on January 26, 2023