Emergency Department Management of Patients Needing Reperfusion Therapy for an ST-Segment Elevation Acute Myocardial Infarction
Publication Date: June 1, 2017
Last Updated: March 14, 2022
Recommendations
Patient Management
Fibrinolytics may be administered to patients when door-to-balloon (D2B) time is anticipated to exceed 120 minutes. (B)
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A dose reduction should be considered when administering fibrinolytics to patients aged 75 years or older. (C)
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To decrease the incidence of major adverse cardiac events (MACE), patients with STEMI should be transferred to a PCI-capable hospital as soon as possible. (B)
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Because safety has not been established, clinical judgment should be used in deciding whether to provide or withhold morphine in patients undergoing reperfusion therapy. (C)
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Title
Emergency Department Management of Patients Needing Reperfusion Therapy for an ST-Segment Elevation Acute Myocardial Infarction
Authoring Organization
American College of Emergency Physicians