RT Book, Section
A1 Kiefer, Todd
A1 Granger, Christopher B.
A1 Jackson, Kevin P.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193147632
T1 Acute Myocardial Infarction with ST-Segment Elevation
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193147632
RD 2024/04/16
AB ESSENTIALS  OF  DIAGNOSISSudden  but  not  instantaneous  development  of  prolonged  (>  30  minutes)  anterior  chest  discomfort  (sometimes  felt  as  “gas”  or  pressure).Sometimes  painless,  masquerading  as  acute  heart  failure,  syncope,  stroke,  or  shock.ECG:  ST-segment  elevation  or  left  bundle  branch  block.Immediate  reperfusion  treatment  is  warranted.Primary  PCI  within  90  minutes  of  first  medical  contact  is  the  goal  and  is  superior  to  fibrinolytic  therapy.Fibrinolytic  therapy  within  30  minutes  of  hospital  presentation  is  the  goal  and  reduces  mortality  if  given  within  12  hours  of  onset  of  symptoms.