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Chapter 55 – ST-Segment Elevation Myocardial Infarction  :  Management

Elliott M. Antman,
David A. Morrow

  PREHOSPITAL AND INITIAL MANAGEMENT, 1111
  Management in the Emergency Department, 1113
  Reperfusion Therapy, 1118
  Fibrinolysis, 1119
  Catheter-Based Reperfusion Strategies, 1126
  Selection of Reperfusion Strategy, 1126
  Anticoagulant and Antiplatelet Therapy, 1128

  HOSPITAL MANAGEMENT, 1133
  Coronary Care Units, 1133
  Pharmacologic Therapy, 1135

  HEMODYNAMIC DISTURBANCES, 1140
  Hemodynamic Assessment, 1140
  Left Ventricular Failure, 1142
  Cardiogenic Shock, 1144
  Right Ventricular Infarction, 1146
  Mechanical Causes of Heart Failure, 1147

  ARRHYTHMIAS, 1151
  Ventricular Arrhythmias, 1151
  Bradyarrhythmias, 1153
  Supraventricular Tachyarrhythmias, 1155
  Other Complications, 1156
  Left Ventricular Thrombus and Arterial Embolism, 1158
  Convalescence, Discharge, and Post–Myocardial Infarction Care, 1159
  Risk Stratification After STEMI, 1159
  Secondary Prevention of Acute Myocardial Infarction, 1162

  EMERGING THERAPIES, 1165
  REFERENCES, 1167