The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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The 2017 Update of the Clinical Guidelines for ST-Segment Elevation Myocardial Infarction of the European Society of Cardiology

2017 유럽심장학회 ST분절 상승형 심근경색증 진료지침의 새로운 점

  • Bae, Jang-Whan (Division of Cardiology, Department of Internal Medicine, Chungbuk National University College of Medicine)
  • 배장환 (충북대학교 의과대학 의학과 내과학교실)
  • Published : 2018.02.01
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Abstract

The 2017 Clinical Guidelines for ST-segment elevation myocardial infarction of the European Society of Cardiology updated many important aspects of the pre-hospital phase, the selection of a reperfusion strategy, interventional and pharmacological treatment, and patient quality assessment. The principal changes are a clear definition of the first medical contact, elimination of the door-to-balloon time from consideration, recommended radial access intervention, a recommendation that drug-eluting stents should be preferred to bare metal stents, recommended complete revascularization during hospitalization, and early discharge of selected patients. Routine manual thrombus aspiration and oxygen supplementation for patients who are not hypoxemic are now discouraged.

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References

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