ACEP Emergency Department Management of Patients Needing Reperfusion Therapy for an ST-Segment Elevation Acute Myocardial Infarction Guideline Summary - Guideline Central
Recommendations
Document Overview

Emergency Department Management of Patients Needing Reperfusion Therapy for an ST-Segment Elevation Acute Myocardial Infarction

American College of Emergency Physicians


Publication Date: Jun 1, 2017

Page Last Updated: May 5, 2026

American Physical Therapy Association Evidence Grading System

 
Grade of Evidence
GradeRecommendationDescription
AStrongA preponderance of level I and/or level II studies supports the recommendation, This must include at least 1 level I study.
BModerateA single high-quality randomized controlled trial or a preponderance of level II evidence supports the recommendation.
CWeakA single level II study or a preponderance of level II and TV studies supports the recommendation.
DConflictingHigher-quality studies conducted on this topic disagree with respect to their conclusions.  The recommendation is based on these conflicting studies.
ETheoretical/foundationalA preponderance of evidence from animal or cadaver studies, from conceptual models/principles or from basic science/bench research supports this conclusion.
FExpert opinionBest practice based on the clinical experience of the guidelines development team.

Document Overview

Document Title
Emergency Department Management of Patients Needing Reperfusion Therapy for an ST-Segment Elevation Acute Myocardial Infarction
Authoring Society

American College of Emergency Physicians

Document Publication Date
Jun 1, 2017
Page Last Reviewed/Updated
May 5, 2026
Document Type
Guideline
Country of Publication
United States
Full Text Freely Available
Yes
Full Text Guideline
www.doi.org/10.1016/j.annemergmed.2017.09.035
Source Citation

[Ann Emerg Med. 2017;70:724-739.]

Supplemental Implementation Resources

Document Scope, Criteria, and Use Cases

Document Objectives

Provide guideline of Emergency Department (ED) Management of Patients Needing Reperfusion Therapy for an STEMI

Scope
Assessment and Screening, Management, Treatment
Diseases/Conditions (MeSH)

D015425 - Myocardial Reperfusion

D004635 - Emergency Medicine

D015424 - Reperfusion

D000072657 - ST Elevation Myocardial Infarction

D000072657 - ST Elevation Myocardial Infarction

D015424 - Reperfusion

D004635 - Emergency Medicine

D015425 - Myocardial Reperfusion

Keywords
Reperfusion therapy, ST-elevation myocardial infarction (STEMI), STEMI
Target Patient Population
Adult patients presenting to the ED with suspected acute STEMI
Inclusion Criteria
Female, Male, Adolescent, Adult, Older Adult
Health Care Settings
Emergency Care
Intended Users
Nurse, Nurse Practitioner, Paramedic/EMT, Physician, Physician Assistant

Recommendation Development Processes & Methodology

Number of Source Documents
684
Literature Search Start Date
Sunday, January 1, 2006
Literature Search End Date
Tuesday, January 10, 2017
Includes peer/external review process?
Yes
Includes public comment process?
No
Methodologist involvement?
Yes
Patient involvement?
No
Includes multi-disciplinary group?
Yes
Includes systematic review?
Yes
Grades quality of strength of evidence?
Yes
Grades quality of strength of recommendation?
Yes
Includes benefits/harms analysis with recommendations?
Yes
You rely on Guideline Central for transparency

Guideline Central and select third party use “cookies” on this website to enhance the user experience.

This technology helps us gather statistical and analytical information to optimize the relevant content for you.

The user also has the option to opt-out which may have an effect on the browsing experience.