Chapter

Reperfusion Strategies for ST-Segment Elevation Myocardial Infarction

Joseph G. Murphy

in Mayo Clinic Cardiology

Fourth edition

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print November 2012 | ISBN: 9780199915712
Published online May 2013 | e-ISBN: 9780199322824 | DOI: http://dx.doi.org/10.1093/med/9780199915712.003.1407

Series: Mayo Clinic Scientific Press

Reperfusion Strategies for ST-Segment Elevation Myocardial Infarction

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The cause of ST-elevation myocardial infarction is rupture or erosion of an atheromatous plaque that leads to formation of an occlusive intracoronary thrombus. ST-elevation myocardial infarction is a medical emergency, comparable to major trauma in which a rapid, abbreviated clinical assessment trumps a comprehensive, but slower, clinical evaluation. Primary Percutaneous coronary intervention is the treatment of choice for all consenting patients, provided primary percutaneous coronary intervention can be performed in a timely manner by an experienced team, generally considered to be within 90 minutes from medical presentation.

Chapter.  7390 words.  Illustrated.

Subjects: Cardiovascular Medicine

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