Advances in the treatment of ST Elevation Myocardial Infarction in the UK.

JRSM Cardiovasc Dis

Consultant Interventional Cardiologist, Wythenshawe Hospital, Manchester University Foundation Trust, UK.

Published: February 2022

AI Article Synopsis

  • Primary PCI has significantly improved patient outcomes for those with STEMI over the last 15 years and is now the standard treatment in the UK.
  • Treatment is effective when initiated within 12 hours of symptom onset, aiming to open the blocked artery within 150 minutes of emergency contact.
  • Procedures typically use the radial artery for access and involve placing a drug-eluting stent, with ongoing antiplatelet therapy for 12 months, and there is increasing support for treating other narrowed blood vessels as well.

Article Abstract

The treatment of acute coronary occlusion with Primary PCI has been a major factor in improving outcomes of patients suffering STEMI in the last 15 years, and is the standard treatment for patients suffering STEMI in the UK. Treatment is beneficial for patients presenting within 12 hours of the onset of symptoms, with the goal being opening of the occluded artery within 150 min of the call for help. Opening of the occluded artery is typically completed with a drug-eluting stent followed by administration of antiplatelet medications for 12 months. Procedures are performed using the radial artery which is associated with improved outcomes compared to vascular access via the femoral artery. Evidence is growing to support full revascularisation including the treatment of severe narrowing in other blood vessels as well as the culprit vessel.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855403PMC
http://dx.doi.org/10.1177/20480040221075519DOI Listing

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