LLSA 2020 - Review 2: Acute Myocardial Infarction

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Review 2: Acute Myocardial Infarction


Suzanne Bentley, MD, MPH, FACEP
Attending Physician, Department of Emergency Medicine, NYC Health + Hospitals/ Elmhurst, Elmhurst, NY; Associate Professor, Departments of Emergency Medicine and Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY
Moira Carroll, MD
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

About this Review

This review article covers the epidemiology, diagnosis, and treatment of acute myocardial infarction (MI). Categorization of acute coronary disease, including ST-segment elevation myocardial infarction (STEMI), non–ST-segment elevation myocardial infarction (NSTEMI), and unstable angina, are also discussed. The recommended standard-of-care treatment options are provided, including guidelines from the American Heart Association (AHA), when available.

  1. Article Citation
  2. Synopsis
  3. Quick Quiz
  4. Discussion
    1. Epidemiology
    2. Pathophysiology
    3. Initial Evaluation, Diagnostic Testing, and Risk Stratification
    4. Initial Medical Care
      1. Prehospital Care
      2. Emergency Department and Early Inpatient Care
    5. Treatment of ST-Segment Elevation Myocardial Infarction
    6. Treatment of Acute Coronary Syndromes Without ST-Segment Elevation
    7. Antithrombotic Therapy
      1. Antiplatelet Agents
      2. Anticoagulant Agents
      3. Combined Oral Anticoagulant and Antiplatelet Therapy
    8. Complications
    9. Late Inpatient and Predischarge Care
    10. Future Direction
  5. Critique
  6. Editor’s Note
  7. Reference
  8. Key Points
  9. Quick Quiz Answer
  10. Original Article

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