Selecting a reperfusion strategy in patients with acute STEMI
STEMI: ST-elevation myocardial infarction; PCI: percutaneous coronary intervention; ED: emergency department; AMI: acute myocardial
infarction.
* This time includes all time required for transfer and other aspects of care until balloon dilation, thrombectomy, or other de!nitive percutaneous
intervention is performed.
¶ Refer to UpToDate content on selecting a reperfusion strategy in STEMI for more information on patients with late presentation.
Δ For patients who do not undergo either PCI or !brinolysis, refer to UpToDate content for a discussion of optimal medical management.
◊ The selection and use of a speci!c !brinolytic agent and the associated anticoagulant and antiplatelet therapies are discussed in UpToDate
content on !brinolysis in AMI.
§ Patients at high risk of reocclusion should undergo PCI sooner, while low-risk patients can undergo PCI later. More information on the use of
angiography and PCI after !brionlysis for the treatment of STEMI can be found in UpToDate.
¥ Refer to UpToDate content for the details on the absolute and relative contraindications to !brinolysis in patients with acute STEMI.
Graphic 138821 Version 1.0
© 2023 UpToDate, Inc. All rights reserved.
STEMI: ST-elevation myocardial infarction; PCI: percutaneous coronary intervention; ED: emergency department; AMI: acute myocardial
infarction.
* This time includes all time required for transfer and other aspects of care until balloon dilation, thrombectomy, or other de!nitive percutaneous
intervention is performed.
¶ Refer to UpToDate content on selecting a reperfusion strategy in STEMI for more information on patients with late presentation.
Δ For patients who do not undergo either PCI or !brinolysis, refer to UpToDate content for a discussion of optimal medical management.
◊ The selection and use of a speci!c !brinolytic agent and the associated anticoagulant and antiplatelet therapies are discussed in UpToDate
content on !brinolysis in AMI.
§ Patients at high risk of reocclusion should undergo PCI sooner, while low-risk patients can undergo PCI later. More information on the use of
angiography and PCI after !brionlysis for the treatment of STEMI can be found in UpToDate.
¥ Refer to UpToDate content for the details on the absolute and relative contraindications to !brinolysis in patients with acute STEMI.
Graphic 138821 Version 1.0
© 2023 UpToDate, Inc. All rights reserved.
