Guideline issued on management of ST-elevation myocardial infarction

The American College of Cardiology Foundation and the American Heart Association Task Force on Practice Guidelines released its 2013 guideline on managing ST-elevation myocardial infarction (STEMI) last week.


The American College of Cardiology Foundation and the American Heart Association Task Force on Practice Guidelines released its 2013 guideline on managing ST-elevation myocardial infarction (STEMI) last week.

The 2013 guideline reflects research published through August 2012 and focuses on STEMI management. It offers recommendations in the following major categories:

  • onset of myocardial infarction,
  • reperfusion at a hospital capable of performing percutaneous coronary intervention (PCI),
  • reperfusion at a hospital not capable of performing PCI,
  • delayed invasive management,
  • coronary artery bypass graft (CABG) surgery,
  • routine medical therapy (e.g., beta-blockers, renin-angiotensin-aldosterone system inhibitors, and lipid management), and
  • complications after STEMI (e.g., cardiogenic shock).

The guideline's writing committee was made up of experts from cardiovascular medicine, interventional cardiology, electrophysiology, heart failure, cardiac surgery, emergency medicine, internal medicine, cardiac rehabilitation, nursing and pharmacy. Official representatives were assigned by ACP, the American College of Emergency Physicians and the Society for Cardiovascular Angiography and Interventions. The guideline was approved by the ACCF and AHA and endorsed by the American College of Emergency Physicians and the Society for Cardiovascular Angiography and Interventions.

The full text of the guideline was published Dec. 17 by Circulation and is available free of charge online.