{"id":33645,"date":"2012-12-17T15:56:18","date_gmt":"2012-12-17T20:56:18","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=news&#038;p=33645"},"modified":"2012-12-17T15:56:18","modified_gmt":"2012-12-17T20:56:18","slug":"new-guidelines-define-state-of-the-art-stemi-care","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2012\/12\/17\/new-guidelines-define-state-of-the-art-stemi-care\/","title":{"rendered":"New Guidelines Define State-of-the-Art STEMI Care"},"content":{"rendered":"<p>New guidelines published online today\u00a0in\u00a0<em><a href=\"http:\/\/circ.ahajournals.org\/content\/early\/recent\">Circulation\u00a0<\/a><\/em>and the\u00a0<em><a href=\"http:\/\/content.onlinejacc.org\">Journal of the American College of Cardiology<\/a><\/em>\u00a0provide an efficient overview of the best treatments for STEMI patients. (Available for download are PDFs of the\u00a0<a href=\"http:\/\/circ.ahajournals.org\/content\/early\/2012\/12\/17\/CIR.0b013e3182742cf6.full.pdf+html\">full version<\/a> [64 pages] or the\u00a0<a href=\"http:\/\/circ.ahajournals.org\/content\/early\/2012\/12\/17\/CIR.0b013e3182742c84.full.pdf+html\">executive summary<\/a>\u00a0 [27 pages] of the\u00a0<em>2013 ACCF\/AHA Guideline for the Management of ST-Elevation Myocardial Infarction.<\/em>)<\/p>\n<p>&#8220;We\u2019re looking to a future where more patients survive with less heart damage and function well for years thereafter,\u201d said Patrick O\u2019Gara, the chair of the guidelines writing committee, in a press release. \u201cWe hope the guidelines will clarify best practices for healthcare providers across the continuum of care of STEMI patients.\u201d<\/p>\n<p>The new document strongly supports the establishment and maintenance of regional systems to treat STEMI, which should include assessment and continuous quality improvement programs.<\/p>\n<p>Primary PCI remains the\u00a0preferred method of reperfusion when it can be performed by experienced operators in a timely fashion. For people who can&#8217;t receive primary PCI within 120 minutes of arrival,\u00a0fibrinolytic therapy should be given within 12 hours of the the onset of symptoms.<\/p>\n<p>The first medical contact (FMC)-to-device time should be 90 minutes at PCI-capable hospitals. Patients who arrive at non PCI-capable hospitals should be transported to a PCI-capable hospital within 30 minutes and should be treated with a FMC-to-device system goal of 120 minutes or less.<\/p>\n<p>Drug-eluting stents should not be used in patients who can&#8217;t or won&#8217;t comply with long-term dual antiplatelet therapy (DAPT). After receiving a stent, patients should receive DAPT with aspirin and either clopidogrel, prasugrel, or ticagrelor.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>New guidelines published online today\u00a0in\u00a0Circulation\u00a0and the\u00a0Journal of the American College of Cardiology\u00a0provide an efficient overview of the best treatments for STEMI patients. (Available for download are PDFs of the\u00a0full version [64 pages] or the\u00a0executive summary\u00a0 [27 pages] of the\u00a02013 ACCF\/AHA Guideline for the Management of ST-Elevation Myocardial Infarction.) &#8220;We\u2019re looking to a future where more [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[595,1597,245,257],"class_list":["post-33645","post","type-post","status-publish","format-standard","hentry","category-interventional-cardiology","tag-guidelines","tag-heart-attacks","tag-mi","tag-stemi"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/33645","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=33645"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/33645\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=33645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=33645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=33645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}