STEMI: A transitional fossil in MI classification?
J Electrocardiol
; 65: 163-169, 2021.
Article
en En
| MEDLINE
| ID: mdl-33640636
ABSTRACT
An important task in emergency cardiology is distinguishing patients with acute coronary occlusion (ACO), who will benefit from emergent reperfusion therapy, from those without ongoing myocyte loss who can be managed with medical therapy and for whom potentially harmful invasive interventions can be deferred. The electrocardiogram is critical in this process. Although the ST-segment elevation myocardial infarction (STEMI)/non-STEMI paradigm is well-established, with "STEMI" representing ACO, its evidence base is poor, and this can have dire consequences. The universally recommended STEMI criteria do not accurately diagnose ACO; in fact, they miss more than one-fourth of the patients with ACO, and also result in a substantial burden of unnecessary catheterization laboratory activations. We here discuss why we believe it is time to change the current STEMI/non-STEMI paradigm.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Oclusión Coronaria
/
Infarto del Miocardio con Elevación del ST
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
En
Revista:
J Electrocardiol
Año:
2021
Tipo del documento:
Article