ESC Pocket Guidelines AMI-STEMI 2017

Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation

Table of Contents

• Introduction
  • Definition of acute myocardial infarction
  • Epidemiology of ST-segment elevation myocardial infarction 
• What is new?
• Emergency care
  • Initial diagnosis
  • Relief of pain, breathlessness and anxiety
  • Cardiac arrest
  • Prehospital logistics of care
• Reperfusion therapy
  • Selection of reperfusion strategies
• Primary percutaneous coronary intervention and adjunctive therapy
• Fibrinolysis and pharmaco-invasive strategy
• Coronary bypass surgery 
• Management during hospitalization and at discharge
  • Special patient subsets
    • Patients taking oral anticoagulation
    • Elderly patients
    • Renal dysfunction
  • Risk assessment
    • Clinical risk assessment
    • Non-invasive imaging in management and risk stratification
• Long-term therapies for ST-segment elevation myocardial
  infarction
  • Lifestyle interventions and risk factor control
  • Pharmacological interventions
• Complications following ST-segment elevation myocardial
  infarction
  • Arrhythmias and conduction disturbances in the acute phase
• Myocardial infarction with nonobstructive coronary arteries (MINOCA)
• Assessment of quality of care