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Critical Care Medicine:
doi: 10.1097/CCM.0b013e31824e18c2
Concise Definitive Review

Treatment of acute coronary syndrome: Part 2: ST-segment elevation myocardial infarction

Trost, Jeffrey C. MD, FACC; Lange, Richard A. MD, FACC

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Abstract

Objective: Familiarize clinicians with recent information regarding the diagnosis and treatment of ST-segment elevation myocardial infarction.

Data Sources: PubMed search and review of relevant medical literature.

Summary: Definition, pathophysiology, clinical presentation, diagnosis, and treatment of ST-segment elevation myocardial infarction are reviewed.

Conclusions: Patients with ST-segment elevation myocardial infarction benefit from prompt reperfusion therapy. Adjunctive antianginal, antiplatelet, antithrombotic, beta blocker, angiotensin-converting enzyme inhibitor, and statin agents minimize ongoing cardiac ischemia, prevent thrombus propagation, and reduce the risk of recurrent cardiovascular events.

© 2012 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins

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