PDF Reperfusion Therapy for Acute Myocardial Infarction
REPERFUSION THERAPY FOR ACUTE MYOCARDIAL INFARCTION
Jason S. Go, MD, FACC Interventional Cardiology and Peripheral Vascular Intervention Altru Health System
? None
DISCLOSURES
CORONARY ARTERY DISEASE
? Major cause of morbidity and mortality in developed countries ? 2010 Heart disease and Stroke statistics
? 17.6 mil with CHD ? 8.5 mil with hx of MI ? 10.2 mil with angina
? 1/2 of all middle-age men and 1/3 of middle-age women will develop CHD ? Responsible for 1/3 of all deaths among individuals > 35 years old
CORONARY SYNDROMES
? CAD with Stable angina ? Unstable angina ? Non-ST elevation MI (NSTEMI) ? ST-elevation MI (STEMI)
ST SEGMENT ELEVATION MYOCARDIAL INFARCTION
? Presentation in up to 33% of ACS cases ? Diagnosis based on typical ST changes ? Usually represent an acute thrombotic occlusion of an epicardial coronary
artery ? Requires prompt recognition, triage, and reperfusion
WHY REPERFUSION?
? Addresses primary problem of acute STEMI ? Improves outcomes
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