NEJM Procedure: Primary PCI for Myocardial Infarction with ST-Segmented Elevation

Reperfusion therapy (mechanical or pharmacologic) is indicated for patients with chest pain consistent with a myocardial infarction with a duration of 12 hours or less in association with ST-segment elevation greater than 0.1 mV in two or more contiguous electrocardiographic leads or a new (or presumed new) left bundle-branch block. Primary PCI is preferred if a skilled interventional cardiologist and catheterization laboratory with surgical backup are available and if the procedure can be performed within 90 minutes after initial medical contact with the patient.

[@fernandohenriquecaixeta3116]

OMG I love NEJM! I wish I could afford subscription! It's so helpful!

[@alaskababy4235]

Mistake. In unstable angina as shown by the diagram, st depression takes place(>0.5 mm) rather than st elevation.

[@fathiaisreawe1]

omg thank u sooooo much !

[@nyeesoon]

ชัดเจนดีมากคะ

[@wahed330]

very informative, partucularly for medicine class

[@Blackjackguru09]

Good info :-)

[@stesan67]

Tutto bello ma, mmm, non poteva far vedere il posizionamento dello stent dopo la dilatazione invece che l'impianto diretto su trombo occludente?

[@virbhanbalai]

good

[@countregula1]

Boogie on down.

[@sidrahassan4885]

(y)