1 / 22

comparison of guidlines ESC 2012 and ACCF/AHA terms of class of recommendation

Management of ST-elevation myocardial infarction according to European and American guidelines. comparison of guidlines ESC 2012 and ACCF/AHA terms of class of recommendation level of evidence. main common recommendations. PCI- capable centre with symptom duration <12 h => <90 min

gay-torres
Download Presentation

comparison of guidlines ESC 2012 and ACCF/AHA terms of class of recommendation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Management of ST-elevation myocardialinfarctionaccordingto European and American guidelines

  2. comparisonofguidlines ESC 2012 and ACCF/AHA • termsofclassofrecommendation • levelofevidence

  3. maincommonrecommendations • PCI-capablecentre • withsymptomduration <12 h => <90 min • non-PCI centre • <120 min

  4. culpritlesion (exceptcardiogenicshock) • radial approach; thrombusaspiration; DES implantation

  5. prasugrelorticagrelorpreferredoverclopidogrel

  6. During PCI bivalirudinandunfractionedheparinindicated<-> fondaparinuxcontraindicated

  7. dual antiplatelettherapy12 months • BMS 1 month • DES 6 months

  8. fibrinolysis • PCI not possible • large infarct • PCI in >90 • coronaryangiographywithin 3-24 h

  9. post-discharge • optimisingcoronaryriskfactorcontrol • smoke cessation • rehabilitationprogrammes • medication • DAPT 12 month • beta-blockers • ACE /ARB inhibitors • statins: LDL < 70 mg/dl • aldosteroneinhibitors : leftventriculardysfunction • Anticoagulation: leftventriculardisfunction, atrialfibrillation

  10. Differences

More Related