Int J Angiol
DOI: 10.1055/s-0041-1723941
Review Article

Management of ST-Elevation Myocardial Infarction in High-Risk Settings

Mohamed A. Omer
1  Cardiovascular Services, Mayo Clinic Health System, La Crosse, Wisconsin
2  Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
,
Jose E. Exaire
1  Cardiovascular Services, Mayo Clinic Health System, La Crosse, Wisconsin
2  Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
,
Jacob C. Jentzer
3  Mayo Clinic, Rochester, Minnesota
,
Yader B. Sandoval
3  Mayo Clinic, Rochester, Minnesota
,
Mandeep Singh
3  Mayo Clinic, Rochester, Minnesota
,
Charles R. Cagin
1  Cardiovascular Services, Mayo Clinic Health System, La Crosse, Wisconsin
2  Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
,
Islam Y. Elgendy
4  Division of Cardiology, Weill Cornell Medicine-Qatar, Doha, Qatar
,
Tahir Tak
1  Cardiovascular Services, Mayo Clinic Health System, La Crosse, Wisconsin
2  Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
› Author Affiliations

Abstract

Despite the widespread adoption of primary percutaneous intervention and modern antithrombotic therapy, ST-segment elevation myocardial infarction (STEMI) remains the leading cause of death in the United States and remains one of the most important causes of morbidity and mortality worldwide. Certain high-risk patients present a challenge for diagnosis and treatment. The widespread adoption of primary percutaneous intervention in addition to modern antithrombotic therapy has resulted in substantial improvement in the short- and long-term prognosis following STEMI. In this review, we aim to provide a brief analysis of the state-of-the-art treatment for patients presenting with STEMI, focusing on cardiogenic shock, current treatment and controversies, cardiac arrest, and diagnosis and treatment of mechanical complications, as well as multivessel and left main-related STEMI.



Publication History

Publication Date:
12 February 2021 (online)

© 2021. International College of Angiology. This article is published by Thieme.

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