Modern Management of Acute Myocardial Infarction

Terrence D. Welch, Eric H. Yang, Guy S. Reeder, Bernard J. Gersh

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Disruption of intracoronary plaque with thrombus formation provides the pathophysiologic foundation for acute coronary syndromes, which comprise ST-segment myocardial infarction, non-ST-segment myocardial infarction, and unstable angina. Management differs depending on whether ST-segment elevation is present, but the general principles of timely restoration of coronary blood flow and initiation of secondary prevention strategies are applicable to all patients. The purpose of this review is to discuss first the epidemiology, pathophysiology, and diagnosis of acute myocardial infarction. Risk stratification and therapy for patients with STsegment elevation myocardial infarction and non-STsegment elevation acute coronary syndromes are then reviewed along with diagnosis and management of the complications of myocardial infarction. (Curr Probl Cardiol 2012;37:237-310.).

Original languageEnglish (US)
Pages (from-to)237-310
Number of pages74
JournalCurrent Problems in Cardiology
Volume37
Issue number7
DOIs
StatePublished - Jul 2012

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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